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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 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a regiutered builder. <br />The work will be Derformed by a registered builder, <br />Other <br /> <br /> this document <br /> DATE: 08/11/92 TIME: t4:~7:43 <br />OWNER; <br /> TUCKER, WILLIAM <br /> <br />TAX <br /> ~0221-210 <br /> <br />CONSTRUCTION TYPE <br /> <br />270 SANTiAM AVE <br />DETROIT <br /> <br />OR 97542 <br /> <br />5095 FIR TREE )R SE <br />SALEM, OR 9~501 <br />PHONE: 564-6261 <br /> <br />SUBDIVISION'. <br /> <br />WIOTH: 101 DEPTH 116 AREA <br /> <br />11716. <br /> <br />SITE NUMBER~ 92-01875 <br />VALUATION: <br /> <br />TOWNSHIP -~,AN G E ZONE <br /> <br /> 10 5E RS <br />UNITe.F ~UEG.NO LOT CO~N~ R: <br /> <br />CATEGORY: <br /> RESIDENTIAL <br /> <br />OCCUPANCY: <br /> <br />OOCtSPAN] _DAD <br /> <br /> NO OF BE[ ~OOMS <br /> 3 <br /> <br />MAP <br /> <br />TYPE: 0N-SITE SEWAGE <br /> <br />PERMIT OR APPLICRTION NO: <br /> <br />CONTRACTOR NO. <br />TUCKER, WILLIAM <br />3095 FIR TREE DR SE <br />SALEM, OR 97~01 <br />PHONE: 364~6261 <br /> <br />4002i <br /> <br />WATER SUPPLY: CW <br />TEST HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELO LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. 8EOROOMS: <br /> <br /> ITEM QUANTITY AMOUNI' <br />SITE EVALUATION~ FIRST LOT 1 $220.00 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$220.00 <br />$220.00 <br /> $0_00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> INVOICE NO: <br />TYPE: CHECK ~: 0 <br /> <br />PAYEE: <br />RECEIVEO BY: CL .................................. <br /> <br />SEE ATTACHEQ DOCUMENT FOR REQUIREMENTS OF ON-SITE SENASE SYSTEM. <br /> <br />NOTE: THIS DOES NOT GRANT OR IMPLY PERMISSION TO BUILD ON 7HIS PARCEL. PLANNING AHD <br />ONS'FRUCTION RERMITS MUST BE OBTAINEO BEFORE BUILOING OR SEPTIC INSTALLATION BEGINS. <br /> <br />REMARKS: SE~ SEEPAGE TRENCH A~ <br />DONALD E.. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ................................ _ ~ <br /> <br /> OFFICE COPY <br />FORM # MC 15.56 REV. <br /> <br /> <br />