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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 /> I have read and agreO to the terms Stated on tho reverse side Of <br /> <br /> DATE: 10/11/88 TIME: 1:11:30p <br /> <br />OWNE~: RAYivIOND/LEAGYELBS <br /> <br /> 400 DETROIT RD <br /> DETROIT 97 342 <br /> <br /> /' ¢ DEAN JASPERS ~ BUYE <br /> ( 2192 ~ HILLOREST DR N~INN <br /> ~ ~: 636-2936 <br />~ ~ ~_~ VA~AT <br /> <br /> 10~ ~E P1;H; <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 9011772 <br /> <br />CONTRACTOR, NO. 36421 <br />KEVIN'S BACKHOE SERVICE <br />P.O. BOX 46~ <br />DETROIT, OREGON 9?342 <br />PHONE: <br /> <br />WATER SU~PLY: ow <br />TEST HOLES READY: <br />SITE EVALUATION NUI~BER: 10831 <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED~ <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />SEEPAGE TRENCH <br /> <br /> QU~NTI TY <br /> 1 <br /> <br />TOTAL AS~E,.S~ED FEE~ <br />PREViOUS, RECEIPTS <br />THIS RECEIPT <br /> <br /> AI~3UNT <br /> $165.00 <br /> <br /> $0.00 <br /> $155.08 <br /> <br /> $o.oo <br /> <br />12501 <br /> 0 <br /> <br /> ALANCE DUE <br /> <br />PAYEE~ KEVlN'S BACI~.iOE SERVICE _--- _ ,, INVOICE NO: <br />RECEIVED BY: DM __ TYPE: 'IN CHECK <br /> <br />SEE ATTACHED DOCUMF~T FOR RE(;~CIREMENTS OF ON-SITE SEqNAGE <br /> <br />* THIS IS NOT A PERMIT. THIS APPLICATION NUST GO THROJGH A REVIEW PROCE~3S I~IERE THE <br />FOLLONING I~IUST BE COMPLETED. IT IS THE RESPONSIBILITY OF' THE APPLICANT TO ~RE THAT <br />ALL NECESSARY INFORMATION HA~ BEEN PROVIDED. <br /> <br />RE~RKS: SEEPAGE TRENCH ALT SYSTE~ <br /> <br />CITY JURISDICTION: BY <br /> <br />DATE <br /> <br />OFFICE COPY <br /> <br /> <br />