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MARION COUNTY BUlL. DING INSPECTION <br />SENATOR BLD43. NO. 225 <br />220 HI,iH 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 Dm performing work on a progerty I own or occupy. . <br />Io~ ~ r~e r~ties, tree rdel~t bill ledr.e ¢ O,{ ) the authorized ceDresent~twe $1GNATU,E OF A*"LIOANTX. --~: ..~ <br /> <br />OREGON BANK <br /> <br />TAX LOT; <br /> <br /> 56503-000 <br /> <br />CONTRACT CITY: ' UG0: <br /> <br />11852 STEINKANP ROAD SE <br />AUMSVI LLE OR 97325 <br />USE O¢ gU~LOiNG: MARION COUNTY <br /> <br /> SAJqTiAM HOMES - TON HAMLIN-BUYER <br /> 11373 MILL CREEK RD AUf~tSVILLE 9?325 <br /> PHONE.- <br /> <br />LOT: 'BLoc~ :~EOT ON; ~TOWNSH P; <br /> <br /> ' 33, i 8S <br />WIDTH; DEPTH: AREA; <br /> <br /> 243 9~2 ; ......... : ..... SF YES <br /> <br />SITE NUrCBER: <br /> VALUATfON; <br /> <br />RES IDEN~ IAL ,- <br /> 8 <br /> <br /> 4896 <br /> <br /> ;MAp: <br /> <br />:CORNER: AR 48 <br /> <br />TYPE: ON-SITE BENAGE <br /> <br />PER~4IT OR APPLICATION NO: 9009699 <br /> <br />CONTRACTOR, NO. 38296 <br />SANTIAM VALLEY HOMES <br />11373 MILLCREEK RD SE <br />AUMSVILLE OR 97325 <br />PHONE= <br /> <br />WATER SUPPLY: PN <br />TEST HOLES READY: APPT W/808 <br />SITE EVALUATION NUMBER: <br />~XISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS; <br /> <br /> I TE~4 QUANT i TY AMOUNT <br />SITE EVALUATION. FIRST LOT · 1 $175.00 <br /> ~0TA~ ~ESSED: FEES $175.00 <br /> PREVIOUS RECE I PTS $ 0.00 <br /> THIS RECEIPT $175.00 <br /> , ::,::, : ~LANCE <br /> DUE <br /> $o.oo <br />PAYEE: SANTIAM VALLEY HONES. ' '~ ~ECEZPT NO: 10377 <br />RECEIVED BY: DN ........ ~_ , ,'_~:_~_~ TYPE: CK CHECK ~: 8881 <br /> <br />SEE ATTACHED DOCUMENT FOR :REQUI~TS :OE:~-SITE SEWAGE :S%TEN. <br /> <br />NOTE: THIS BOES NOTmG~NT OR IMPLY ,PERMISSION TO BUILD ON THIS PARCEL. pLANNING AND <br />CONSTRUCTION PERMI~, BEOBTAINED BEFORE 8UILDIN6 OR SEPTIC INSTALLATION BEGINS. <br />PLAN REVZEN, BY__,..~.~___ DATE_3:j_~=~L~__ CiTY JURISDICTION: 8Y ........ DATE ......... <br />REMARKS: SITE EVAL Rg4011 <br /> <br />F(Dr~M ¢ MC 15-56 REV ~r OFFICE COPY <br /> <br /> <br />