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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO. 225 <br />- ' 220 HiGH STREET NE <br /> SALEMi OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br /> Other <br /> <br />DATE: 06/06/88 TIME: 1:16:35p <br /> WARD, PETE <br /> <br />· 19811 OLMSTEAD RD <br />AURORA <br /> <br />DATE: <br /> <br /> : RESIDENTIAL <br />OR 97002 MARION OOUNTEY '~ NO , ~ 2 <br /> <br />SAME <br /> <br />PHONE: 6?8-2856 <br /> <br />[Of: ~LOCK: <br /> <br />WIDTH: 0EPTN: <br /> <br />TYPE: O~-SITE SEWAGE <br /> <br />PEk~IT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />NARD, PETE <br />SA~E <br /> <br />PHONE; 6?8-2856 <br /> <br />SITE NUMBER; 4589 <br />VALUATION: <br /> <br />20.0000 AC NO ; NO <br /> <br />9008904 <br /> <br />WATER SUPPLY.' PN <br />TF.~T HOLES READY: <br />SITE EVALUATION NUFfSER: <br />EXISTING TANK :SIZE: <br />EXISTING DRAIN FIELD LINES~ <br />SEPTIC TANK PUMPED: WILL BRING IN <br />PREVIOUS NO. BEDROOMS: 2 <br /> <br />4OO <br /> <br />AUTHORIZATION NOTICE - FLD. VISIT Er~ <br /> ~/,O~..%/ TOTAL .A..,.~SE:S~EOFEE$ <br /> PREVIOUSRECEIPTS <br /> THIS RECEIPT <br /> 8ALANCE DUE <br /> <br /> iTEM QUANTITY AMOUNT <br /> $105.00 <br /> <br /> $105.00 <br /> $q05.00 <br /> $0.00 <br />PAYEE; WARD, PETE ~¢~..~'' RECEIPT NO: 9571 <br />RECEIVED BY: pb -~ ~_¢¢,_ ....... TYPE: CK CHECK ~: 675 <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SE'1c~GE <br /> <br />m THi:S IS NOT A PEI~IT. THIS APPLICATION I~ST 60 THROUGH A REV[~ PROCE~ i~'tERE 7HE <br />FOLLOWING WU:ST BE COf, IPLETED. IT I8 THE RESPONSIBILITY OF THE APPLICANT TO AS~JRE THAT <br /> <br />ALL NECESSARY INFOEMATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: 8Y .... ~ OAT~~ ........... <br />RE~RKS: AUTH ~8324 <br /> <br />CITY JURiSDICTION: BY ........ DATE ........... <br /> <br />ro~M ,, ~c; I¢;.su nov I;mz OFFICE COPY <br /> <br /> <br />