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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 PM - 8::00 A M <br /> <br />OWNEn WOL-r ERS, 8ILL <br /> <br />TAX LOT' 58503--000 <br /> <br /> 862 STE]NKAMrP RO <br />fvSvlL <br /> <br />OR 97325 <br /> <br />USE OF BUILDING <br /> <br />MAILING A, DORE$S <br /> BUYERS: MR. NO,~CK <br /> ~ f373 MiLLCREEK RO SE AUMSVILLE <br /> PHONE: " o ~ <br /> <br />SE <br /> <br />SITE NUMBERt <br /> VALUATION: <br /> <br /> UGB NO OCCUPANT IGAG <br /> <br />PARCEL 2 OFF 11852 STEINKAMP <br /> <br /> 6690 <br /> <br />243 DFPTH 482 AnS~ I l ?126 . UNiTS <br /> <br />88 RANGE '~W ZONE ~R MAP 48 <br /> <br />f¥,~8: ON SI-rE SEL,.I.~.GE <br />PERHiT OR APFLICA'fION NO: 17570 <br /> <br />CONTRACTOR, NO. <br />~OL7 BRS. BIL~ <br />SUYBRS. Mfi. NOAGK <br />'1373 ~ILLCREEK RD SE AUHSVZLLE <br />PHONE: 789-7?44 <br /> <br />~!ATER c~LTM Pta! <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: 14388 <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD ~INES: <br />SEPtiC T~.NK PUMPE0: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTI~Y A~OUNT <br />SE ~ 8 ~ON-FHS OLD <br /> $11000 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />81lO-JO <br />$1S0 00 <br /> <br />BALANCE DUE $0 O0 <br /> <br />RECEIPT NO: <br /> <br />RECEIVED BY: PR TYPE; CHECK ~: <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />~ THIS IS A VALID PERMIT · THIS PERMIT EXPIRES STO DAYS FRO~ ITS ISSUE DATE_ IF <br />CONSTRUCTION FAILS TO NEET ALL REQUIRENENTS OF STATE LAN~ AND HARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PERMIT SHALL BECE~E NULL AND VOID- <br /> <br />REMARKSi STAND4RD SEPTIC R~7854 <br /> <br />DONALD E- WOODi..EY, ,q RIGN COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM * MC Isse aEV 11'88 OFFICE COPY <br /> <br /> <br />