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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 />C(3DE-A-~HONE 4::30 PM - 800 A,,M <br /> <br />Other <br /> <br /> DATE~ 05/01/89 TIME: 10:27:44a <br />OWNER <br /> <br /> WALLACE, MINNET <br /> <br /> 9293 PORTER RD SE <br />AUNSVILLE OR 97325 <br /> <br />USE OF BUILDING <br /> <br />MAILING ADDRESS <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br /> CONTRACT O~T¥ UGB <br />MARION COUNTY NO <br /> <br /> SAME <br /> <br /> PHONE= 749-2643 <br /> <br />LOT BLGDK <br /> <br />SUBDIVISION <br /> <br /> SITE NUMBER: 7471 <br /> VALUATION: <br />SECTION TOWNSHIP RANGE ZONE <br /> <br /> 1 93 2W EFU <br /> 5. 00000 AC NO NO <br /> <br />CATEGORY <br /> RESIDENTIAl' <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br />MAP <br /> <br /> 62 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />WALLACE, MINNET <br />S,,~IE <br /> <br />PHONE: 749-2643 <br /> <br />9015405 <br /> <br />MATER SUPPLY: PN <br />TEST HOLES READY; <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: 1000 <br />EXISTING BRAIN FIELD LINES: <br />SEPTIC TANK PUMPED; 5-31-89 <br />PREVIOUS NO. BEDROOMS: 4 <br /> <br /> ITEM QUANTITY AMOUNT <br />AUTHORIZATION NOTICE - FLD,, VISIT 1 $105.00 <br /> ~,~,,~2~ TOTAL ASSESSED FEES $105.00 <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT $105_00 <br /> / BALANCE DUE <br /> $o.oo <br /> <br />PAYEE: WALLACE. MINNET - R, <br />RECEIVED BY: cl TYpE,;:,C?(ECEIPT <br /> NO: <br /> 17445 <br /> CHECK &t: 0 <br />SEEATTACHED DOCUMENT FOR RE(~JIREMENTS OF ~-S[~E SEW~E S~T~. <br />* ~IS IS NOT A PE~IT. ~IS APPLICATI~ ~ST ~ ~ A ,R~I~ P~E~ ~ERE ~E <br />FOLDING ~ST BE ~PL~ED~ IT IS ~E: R~SZBIL[~ OF ~E APPL~C~T TO ~RE ~AT <br />ALL N~RY [NFO~T[~ H~ BE~ P~[DED+ <br /> <br />REd,KS: AMaH ~?092 <br /> <br />CITY JURISDICTION: BY DATE <br /> <br />FORM#MOIl56 .~ II~ OFF]CE COPY <br /> <br /> <br />