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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET N~= <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P,M. - 8:00 A,M. <br /> <br /> a pOHOrming work on a property I own or occupy. . <br />I am a registered builder' OR ( )the authori,~ed representahve <br />of a registered builder, <br />The work will bo performed by a register'ed builder. <br />Other <br /> <br />KASEL, ANNETTE B <br /> <br />TAX LOT: <br /> .... 20 48,007 ES!D,,E,.,NTzAL ,, <br />CONSTRUCTION TYPE; ! OCCUPANCY; <br /> <br /> 14695 KASEL COURT NE <br /> AURORA OR 97002 <br /> <br />USE OF BUILDING: <br /> <br />21823 AIRPORT RD NE <br />AU~3RA 97002 <br />PHONE: 678-1444 <br /> <br /> CONTRACT CITY'. i UGB: !OCCUPANT LOAD; <br />A~JRORA I, NO : <br /> <br /> SUBDIVISION: <br /> <br /> K4S. EL COURT <br /> <br /> SITE NUPlBER: 5481 <br /> VALUAT I(~4: <br /> <br />:OT: iBL~6K: 's~ST~O,~: TOWNSHIP; RANGE: , ZONE: MAP: <br /> i 2. 38000 ~] NO i NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PER, lIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />KASEL, ANNETTE 8 <br />21823 AIRPORT RD NE <br />AURORA 97002 <br />PHONE: 678-1444 <br /> <br />9011130 <br /> <br /> ITEM <br />SITE EVALUATION, EA. ADDL. <br /> <br />NATER SUPPLY: CAR <br />TEST HOLES READY: YES <br />SITE EVALUATION NUIVlSER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. <br /> <br /> QUANTITY AHOONT <br /> LOT 1 $145.00 <br /> <br /> TOTAL AeSF. SSED'FEES $145.00 <br /> PREVIOUS:RECEIPTS $0.00 <br /> THIS REX}EIPT, $145.00 <br /> <br />PAYEE: ~EL, ~NETTE 8~ N~ NO: 11846 <br />RECEZVEB BY: ~ ....... ~pE., [~,=:~ECK ~: 0 <br /> <br />NOTE= ~Z8 ~ NOT G~T OR~NPLY PE~Z~Z~:ToBU~LD ~ ~[~ PA~L. P~NZNG ~B <br />~S~CTZ~ PE~ZTS ~ST BE~TAINEB BEFOREBU[~=ZNG QR SEPTIC [NSTAL~TZ~ <br />P~ R~I~: BY DATE CI~ JU~ISDIb~[~: BY ....... DATE <br />RE~RKS: SITE EVAL <br /> <br />OFFICE COPY <br /> <br /> <br />