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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 />Other <br /> <br />:OWNa~l~'f'E: 05/15/92 <br /> <br /> TUCKER, NILLiAM <br />SITUS ADDRESS: <br /> <br />q 2 tO ?: 4,7 <br /> <br />90221-2'10 <br /> <br />2'10 SAN'IIAM AVE <br />©ETROIT OR 9734,2 <br />BUILDING: <br /> <br />gEl'ROi1 NO <br /> <br />LOT; <br /> <br />~095 FiR TREE DR SE ~ <br />PHONE: 384.-6261 <br /> BLOCK: SEC~ION: <br /> <br />TOWNSHIP: <br /> <br /> SiTE NU~tBER: 92-01875 <br /> YALUAZiON: <br />RANGE'. ZONE: <br /> <br />WIDTH; DEPTH: AREA: <br /> lQ1 116 <br /> <br />q 1 ;F18 ~F NO NO <br /> <br />OCCUPANT LOAD: <br /> <br />RESiDEN1 IAL <br /> <br />MAP: <br /> <br />TYPE: ON-~5)~'T'E SEWAGE <br /> <br />PERI~4iT OR APPLICA'T'i©N NO: 40021 <br /> <br />CONTRAC'roR, NO. <br />TUCKER, WILLIAN <br />3095 F~R TREE DR SE <br />SALEM, OR 97301 <br />PHONE: 364~6261 <br /> <br />WATER SUPPLY: CW <br />TEST HOLES R~OY: YES ~ <br />SITE EVALUATION NUMBER: <br />~(IS'FiNG TANK SIZE: <br />EXiSIIING DRAIN FIELD LINES: <br />SEPTIC '['AJ~K PUMPED: <br />PREVIOUS NO. BEDR~JO~: <br /> <br /> ITEM <br />SiI'E EVALUATION, FiRS'I' gOI~' <br /> <br />PAYEE: 'FUCKER, ~iLLIAM <br /> <br />'T'OTAL A~E~EO FEES <br />PREVIOOS RECEIPTS <br /> RECEIPT <br /> <br />QUAN'/i'IY AMOUNI <br /> 1 $22O.00 <br /> <br />$220.00 <br /> $0.00 <br />$220.00 <br /> <br />BALANCE DUE $0 . 00 <br /> <br />iNVOiCE NO: 42065 <br /> <br />RE'CEIVED BY: CL ........................................................................................................................ FYPE: IN CHECK ~: 0 <br /> <br />~EE AI'f'ACHED OOCUMENT FOR REQUiREmENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />NOTE: THIS DOES NOT GRANT OR i~PLY PE~IE~.SiON TO BUILD ON THiS PAROEL. PLANNING AND <br />CONSTRUCTION PER~ITS MUST BE OBTAINED BEFORE BUILDING OR SEPTlC iNSTALLATION BEGINS. <br /> <br /> RE~ARKS: SE /,'~ -- <br /> £~NALO E. NOODLEY, MARION COUNTY BUiLDiNG OFP'iCiAL / 8Y ................ L~ ............................................................ <br /> <br />FO.~ ~ Mc is-se ney. 4~ OF FICE COPY <br /> <br /> <br />