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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM: OREGON 97301 <br /> <br /> PHONE:: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />DA rE.~ 09/24/91 r £ME: 11: 34: 05 <br /> F,Z~iREZ, JOE <br /> <br /> 1000 <br /> <br />CONSTRUCTION TYPE <br /> <br />DONALD LOOP RD <br /> OR <br /> <br />9?002 <br /> <br />NF.- <br /> <br />.I~ARiON (~(.~JN 1'.¥ NO <br /> <br />LOPEZ, JOg (MAIL REPORI lO:) <br />12737 .DONALD LOOP RD <br /> <br />LOT BLOCK SECTION <br /> <br /> Si'IE NUMBER ~ '~4-332 <br /> VALUA F iON ~ <br /> RANGE ZON~ ' <br /> <br />45 <br /> IRFI~G LOT CORNER <br />SF YfrJSi NO <br /> <br />, CATEGORY <br /> RESI ObN f <br />OCCUPANCY <br /> <br /> OCCUPANT LOAD <br /> <br />TYPE: ON-SITE SE~A~E <br /> <br />P~RMiI OR APPLiCAIlON NO: <br /> <br />CONfRAC'TOR, NO. <br />RAMiR~g, JOg <br />LOPEZ, JOE (MAIL REPORT <br />12737 DONALD LOOP RD <br />~HONEt 678--2511 <br /> <br />35200 <br /> <br />NATER SUPPLY: P~ <br />rEST' HOL~RS READY: <br />SI1E EYALUATION NUMBER; <br />~)(iS[ING ~,~NK SIZE: <br />EXISIlNG DRAIN FIELD LiN~: <br />SEPTIC TANK PUMPED: 9-1'1-91 <br />PREVIOUS NO. BEDROONS; <br /> <br /> ii'EM <br />EXISTING SYSTEN EVAL. RPI+ <br /> <br />'tOtAL A~EO FEES <br />PRE¥iOUS RECEiPIS <br />THIS RECEIPT <br /> <br />Q~JANflrY Ar'4OUNf <br /> 1 $110.OO <br /> <br />110.00 <br /> <br />~ALANCE DUE $0,00 <br /> <br />PAYE~: RECEIP'I NOs <br />RECBIVgD BY: cl IYPE: CHgCK ~: 0 <br /> <br /> SEE Alf~tEO DOCUMENI POR REQUIREMEJ~'f~ OF ~-SITE <br /> <br />* THIS IS A VALID PE~IT ~ THi~ PE~IT ~PIR~ ~60 ~ F~ IT8 I~E ~TE. IF <br />~ST~CTI~ FAI~ TO N~ ALL ~IR~TS OF STATE <br />Z~ING ~DIN~C~, THIS ~IT ~A~ BE~ NULL ~D <br /> <br />REMARKS: LOAN REPORi R;kt2862 /~ <br />DONALD E_ VCOODLEY, MARION COUNTY BUILDING O?PiCiAL / BY ................~ <br /> <br />~O~M ~MC ~s.~ n~v .~,~ OFFICE COPY <br /> <br /> <br />