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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />I am perforrning work on a property I own o¢ occupy. <br />I am 8 registered builder OR ( ) the 8uthorized representative <br />of a registered builder, <br />The work will be performed by a registered builder. <br />Other <br /> <br /> this document, <br /> DATEr 07/18/88 TIME: 10.'37:52a <br /> OREGON BANK <br />SITUS ADDRESS; <br /> <br />56503-000 ' [ RESIDENTIAL <br /> <br /> AU~SVI LLE OR 97325 J / J <br /> <br /> ~3ANTIAN HONES - TO~ HAI~LIN-BUYER <br /> 11373 h4ILL CREEK RD AUF1SVILLE 9?325 <br /> ¢>HONE; 76g~7744 SITE NU~4BER: 4898 <br /> <br />WIDTH: OEPTH AREA: pL~N ~r~ ~ I~'~E~. LOT: ' ' 80RNER'; <br /> <br />TYPE: ON~SITE SEWAGE <br /> <br />PER, I?' OR APPLICATION NO: 9899 <br /> <br />CONTRACTOR, NO, 38238 <br />SANTIAN VALLEY HOMES <br />1'1373 MILLCREEK RD SE <br />AUPLSV~LLE OR 9?325 <br />PHONE: <br /> <br />WATER SUPPLY: PM <br />TEST HOLES AEADY: APPT ~/BO8 <br />SITE EVALUATION NU~EJER: <br />E:XISTZNG TANK SIZE= <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUHPED: <br />PREVIOUS NO. BEDROOi'4S; <br /> <br /> ITEM QUANTITY AMOUNT <br />SITE EVALUATION, F~RST LOT ' '.:.' 1 $175-00 <br /> <br /> TOTAL .ASSESSED',~EES $175.00 <br /> PREVIOOS"REOE;,PTS. $q75.00 <br /> <br />PAYEE: ' NO= <br />RECEIVED BY: c] ,,'~CHECK ~: <br />SEE ATTACHED DOCUNENT FOR <br /> <br />NOTE: THIS DOES NOT GPV~NT OR IMPLY 'PEBMISSIONJ~TO,BUILD ON THIS PARCEL. PLANNING AND <br />CONSTRUCTION PERMITS ~UST BE OBTAINED'BEFORE' BUILDING OR SEPTIC INSTALLATION BEGINS. <br /> <br />REiVlARKS: SE R~4011 ~ ~ <br />DONALD E- NOODLE'Y, MARION COUNTY BUILDING OFFICIAL / BY ........................ ~ <br /> <br /> <br />