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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 586-6147 <br />CODE-A-PHONE 4:30 P,M, - 8:00 A.M. <br /> <br /> Other.. <br /> <br /> DATE: 10/17/9~ %I~E: 11;4,6.;.59a <br />10WNER: ' TAX LOT: ' CATEGORY: <br /> <br /> RAY~OND/LEAGYELDS <br /> <br /> 400 DETROIT RD <br /> 0ETROIT 9? 342 <br /> <br />USE OF $(JlLDiNG ............ <br /> <br />iMAILING <br /> <br />P. DEAN JASPERS - BUYER <br />2192 SO HILLCREST DR NEST LINN <br />~ONE: 636-2936 <br /> <br /> 66960-000 ~ RESID~%ZAL <br />CONSTRUCTION TYPE: iGCCUPANCY~ <br /> <br />:WIDTH: <br /> <br /> SITE NUFSER: 5255 <br /> VALUATION: <br /> ]~E~i~N: ~OWNSHIP; .................. i RANG~ ......................... ;~ONE~ <br /> <br /> · 10 i 5E <br /> <br />'03 69 SF I YE~ i NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PER~IT OR APPLICATION NO: 11772 <br /> <br />CONTRACTOR, NO- 36421 <br />KEVIN'S BACKHOE SERVICE <br />P.O. ~OX 465 <br />DETROIT, OREGON 9?342 <br />PHONE: <br /> <br />WATER SUPPLY: cw <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: 10831 <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br />ITEM QUANTITY AMOUNT <br />SEEPAGE TRENCH 1 $185.00 <br /> <br /> TOTAL:A,!ik~ESSEBFEES $165.66 <br /> PREVIOUSRECEIPTS, $165.00 <br /> ' THIS RECEIPT, ;= $0.00 <br /> <br /> BALANCE OUE $0.00 <br /> <br />PAYE~: ', ' ,' , NO: <br />RECEIVED BY: dm ..... ~__,, CHECK ~: <br /> <br />SEE ATTACHED DOCUMENT FOR REQUtRERENTS ]OF. ON=SITE;:SE~GE.SYS~'E~.:,: : <br /> <br />THIS IS A VALID PER~4IT THIS PERMIT EXPIRES 360, BAYS :;FROM ITS I~E ~TE. IF <br />~ST~CTI~ FAI~ TO NE~ ALL RE~I'R~ ;OF;:S~A~E:*~ ~D ,~RI~ ~N~ BUILDING <br />Z~ING ORDIN~C~, ~IS PE~IT ~LL BEdE NUE~'~D:~ID. :, <br /> <br />RE~RKS: SEEPAGE TRENCH ALT SYSTEM :,, ':: :" <br />~NALD E. ~DLEY, ~RION COUNTY BUILDING OEEi~Z:AC:~. BY ......................_~ <br /> <br />OFFICE COPY <br /> <br /> <br />