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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO.,220 <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 per¢orming work Cfi a )roperty I own or occupy· <br />I~msregisteredbuilderOR( )theauthorzedt'epresentatve <br />of a registered builder, <br />Tbe work will be performed by a registered builder, <br />Other ........ <br />I h~vo read and agree to the terms stated on tho reverse side of <br />this document· <br /> <br /> KASEL,' NNE%TE B <br />¢Si~U~ ADDRESS~ <br /> <br /> 14694 FC,.SEL COURT <br /> AURORA <br />uSC OF BUIL~IN~: <br /> <br /> 21823~ AIRF~RT RD NE <br /> AURORA 97002 <br /> PHONE; 678-1444 <br /> <br />LOT: i'~ 6C, K: <br /> <br /> NE <br />OR 9?002 <br /> <br /> 20449-000 ; RI~SI DENTIAL ' <br /> , CONSTRUCTION TYPE; ,i OGOUPANCY'. <br /> <br /> SITE NU~ER: 5490 <br />SECTION: ;+~NS~I~: RANGE: ~ ZONE: ~ MAP: <br /> <br />TYPE: ON-SITE SENAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO, <br />KASEL, NNETTE B <br />21823 AIRPORT RD NE <br />AURORA 97002 <br />PHONE: 678-1444 <br /> <br /> ITEM <br />SITE EVALUATION, EA. ADDL. <br /> <br />9011135 <br /> <br />WATER SUPPLY: CAN <br />TEST HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> (~JANTITY AMOUNT <br />LOT 1 $145.00 <br /> <br /> TOTAL ASSESSED,FEES $145.00 <br /> PREVIOUS RECEIPTS $O.OO <br /> THIS RECEIPT <br /> <br />BALANCEBUE <br /> <br />PAYEE: KASEL, NNETTE 8 <br />RECEIVED BY: DM TYPE: <br /> <br />INVOICE NO: 11851 <br />[N.,OHECK ~: 0 <br /> <br />SEE ATTACHED DOCUMENT =OR RE(~JIRENENTS Of ON-SITE SB,'CA~E SYSTEM. <br /> <br />CONSTRUCTION PERMITS I~JST 8E ILDING OR SEPTIC INSTALLATION BEGINS. <br /> <br />PLAN REVIEW: 8Y DATE CITY JURISDICTION: BY DATE <br />REMARKS: SITE EVAL <br /> <br />OFFICE COPY <br /> <br /> <br />