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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9'7301 <br /> <br /> PHONE: 588-5147 8:00 - 4.:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other___ <br /> <br />S'I'UI'HEIT, RICHARD <br /> <br />RE,~I DEN1 iAL <br /> <br /> 5983 WALINA COURT SE <br /> AUMSVLLLE OR 9?325 <br />USE OF BUILDING: <br /> <br />CONTRACT CITY; <br /> <br />~RiON (;,'6~¢N.'f: Y' NO <br /> <br />5830 tSUNSET NAY <br />'I'UR:NER, OR 9?392 <br />PHONE: 743-2723 <br /> <br />LOT: BLOCK: <br /> <br />WIDTH: lW O~PTH: <br /> 156 <br /> <br />ROLLING GREEN ES I'A I' 8~' <br /> <br /> ; SEctiON: : f6¥VNSH IR: <br />412 , <br /> <br /> SITE NUMBER: 10585 <br /> VALUATION: <br /> ,RANGE: zoNE; <br /> <br />8S 2W AR <br /> [BBBG LOT: CORNER: <br /> <br />SF yE5 NO <br /> <br />MAP: <br /> <br />WEST <br /> <br />49 <br /> <br />3 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERC4iT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />STUTHEIT, RICHARD <br />6830 ~UNSET HAY <br />'f'UF~ER, OR 97392 <br />PHONE: 743-2723 <br /> <br />25357 <br /> <br />WATERE, UPPLY: <br />TEST HOLE~ READY: <br />SITE E~ALUA'FION NUMBER~ <br />EXISTING I'AJ~K SIZE: <br />Eg(ISTiNG DRAIN FIELD <br />S~PTiC TANK PUMPED: <br />PRE~IOUS NO. <br /> <br /> iTEM <br />SITE EYALUA'f'ION, FIRST LOT <br /> <br />TOTAL,,~C~ED FEES <br />PREV'ICXJS R.E. CEIPT5 <br />I'Hi8 RECEIPT <br /> <br />(;FdANI'iTY AIvtOUN'¥' <br /> * $175.00 <br /> <br /> ~175.00 <br /> 175.00 <br /> $o.oo <br /> <br />BALANCE CUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEiVEO BY: GL TYPE: CHECK ~: 0 <br /> <br />SEE AI"IFACHED OOCUI~E,'~'f' FOR RE(~JtRE~ENI"S OF ON-si'rE ~ENAGE SYSTEM_ <br /> <br />NOTE: THIS IX)ES NOT GRANT OR .I,I~IPLY PERI~I~ION TO BUILD aN THI~ PARCEL. P/.-ANN,[NG AND <br />CONSTRUCTION PE~'4IT~ 6~J~T FiE OBTAINED BEFORE FIUiLOING OR SEPTIC [N~TALLATIaN FIlBGINS. <br /> <br />R,~N1ARKS: SiTE EVALUA'flON R~35'Z? <br /> <br />DONALD E. WOODLEY, ~RiC~ C'EX..INfY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />