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MARION COUNTY BUI,,LDING~GPECTION <br /> SENATOR ~LDG, NO,, ~ <br /> 220 HIGH STREET NE <br /> SALEM OREGON 97301 <br /> <br /> PHONE 588-5147 <br />COE)E-A-PHONE 4 30 PM - 8::00 A M <br /> <br />Other <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DATE <br /> <br />D~-~. 03/02/89 TINE: 12=03:34p <br /> BAKER, ROBERT & CHRISTINE <br /> <br />TAX LOT CATEGORY <br /> <br />RESIDENTIAL <br /> <br />9283 PORTER RD SE CONTRACT CITY LIGB OCCUPANT LOAD <br />,JM,:,VI LLE OR 9?325 <br />USE OF BUILDING MARION COUNTY NO NO OF~,~DROOMS <br /> <br />SUBDIVISION <br /> <br />oHONE: 749-2568 SITE NUMBER~ 5846 <br /> VALOATiON: <br /> <br /> NO NO <br /> <br />TYPE¢ ON-SITE SEWAGE i WATER SUPPLY: <br /> TEST HOLES REAOY: <br />PERMIT OR APPLICATION NO: 901,4,274 I SITE EVALUATION NUMBER; ST-?4 <br /> ~ EXIST~'NG TANK SIZE: 900 <br />CONTRACTOR, <br /> NO. <br />  EXISTING DRAIN F]~ELD LINES: '~00 <br /> ~ SEPTIC TANK PUMPED: BEING OONE <br />BAKER, ROBERT & CHRISTINE <br /> PREVIOUS NO. BEDROOMS: 2 <br /> <br />PHONE t ?49-2558 ~'~--~ <br /> .7, TEM /,21/ QUANTITY AMOUNT <br />AL.iTHORIZA-FION NOTICE - FLD. VISIT ,.., /-'"%~' 1 ¢105.00 <br /> ,,,.,~,~TPTOTAL ASSESSED FEES $105.oo <br /> ~ PREVIOUS RECEIPTS <br /> ~,...~ .,,. THIS RECEIPT <br /> BALANCE DUE $0.00 <br /> <br />PAYEE: BAKER, ROBERT & CHRISTINE RECEIPT NO; 15132 <br />RECEIVED BY; pr TYPE: CK CHECK ~- ?42 <br /> <br />SEE ATTACHED DCX',~Uf',IENT FOR REQUIREf4ENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />~ TH~'S I~S NOT A PEF~IIT. THIS APpLTCATTON MUST GO THR'EEJGH A REVIEW PROCESS WHERE THE <br />FOLLOWfNG f4UST BE CO~P'LETEB. IT l'S THE RESPONS'fB'fL';[TY OF THE APPLI'CANT TO ACiSURE THAT <br /> <br />ALL NECE..S,SA~ INFORMATION HAS BEEN PROVIDED. <br />REMARKS: EXIST SYST ALLTH NOT-FL0 VS R~ 5519 <br /> <br />CITY JURISDICTION: 8Y ............ DAT~:_ ........... <br /> <br />I.OI~MCM~,5~ ~[_¢ ,,,L~8 OfFiCE COPY <br /> <br /> <br />