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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 />Other_ <br /> <br /> I havo road and 8gree to the terms stated on the reverse side of <br /> this docum t. <br /> <br /> DATE: ~.~.ME.'- 8:4 O: 4 ~ <br />'6W~E~: <br /> KASEL, ANN~E D <br /> <br /> 14674 KASEL COURT <br />AU ~'ORA OR 9?002 <br /> <br />:i)'SE or BLJ~LDINO: ......................... <br /> <br />21823 AIRPORT RD <br />AU F~DP, A 97002 <br />PHONE: 678-1444 <br /> <br />WLOTH: <br /> <br /> 20448-000 / : RESIDENT, I AL <br /> <br />AURORA NO : ' <br /> <br /> SUBDIVISION: <br /> <br /> KASEL COURT <br /> <br /> SITE NUNBER: 5488 <br /> VALUATION: <br /> <br /> 12 4S 1N ~ R-1 3 <br />2. 38000 AC NO : NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 11133 <br /> <br />CONTRACTOR, NO. <br />KASEL, ANNETTE 8 <br />21823 AIRPORT RD <br />AgRORA 9?002 <br />PHONE: 678-1444 <br /> <br />WATER SUPPLY= CN <br />TEST HOLES READY.' YES <br />SITE EVALUATION NUNSER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED.' <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AHOUNT <br />SITE EVALUATION, ~ZA. ADDL_ _CT 1 $14.8.00 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />145.00 <br />145.00 <br />$0.00 <br /> <br />BALANCE DUE S0.00 <br /> <br />PAYEE: INVOICE NO; <br />RECEIVED BY: cq TYPE: CHECK <br /> <br />SEE ATTACHED DQCUMENT FOR REQUIREMENTS OF ON-SITE 'SEIgAGE SYSTEJvl. <br /> <br />NOTE: THIS DOE~ NOT GRANT OR IMPLY PERMI:B.5;ION TO BUILD, ON: THIS PARCEL; <br />C~TRUCT~ON PER~4ITS ~LIST BE 08TANNED BEFORE BUILBIN6 OR SEBTIC INSTALL&TION BESINS. <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDTNG OFFtC :A <br /> <br />~o~u ~, MC ,S-~6 ,~v 6/~7 OFFICE COPY <br /> <br /> <br />