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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: 588-8147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> am porforming work on a property i own or occupy, <br /> <br />Other__ ,, <br /> <br />this document, <br /> <br /> DATE: 09/11/9'1 :f;J. MEz 12:02:08 <br />OWNER: : TAXLOT: i bA~E&6~; <br /> TAU'1'FEBT, RUSSELL. RESt DENTiAL <br />SITUS ADORESS'. CONSTRUCTION TYRE: OCCUPANCY: <br /> <br />1 ~ 3'? 1 FARGO RI3 NE [ do~A~ ~i1-~; ii ~J~: OCCUPANT LOAD; <br />AURORA OR 9'7002 <br /> ~R[ON .LOFTY. J NO <br />USE OF BUILDING: B~0R00MS: <br /> <br />3]?5 5'f'H S'I' <br />HUBBARD OR <br />PH~)E: 981~'30'74 <br /> <br />TYPE: ON-SirE SEWAGE <br /> <br /> ~['I'E NU~ER: 13539 <br /> VALUA'f'~ON: <br /> <br />~ 05 45 1~ PU,,~ <br /> <br />PERC4i'f' OR APPLICATION <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: WiLL CALL <br />SiTE EVALUATION NUC4~ER: <br />EXiSTiNG TANK ~iZE; <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC 'rANK PUMPE0: <br />PREVIOUS NO. 8EOROONSi <br /> <br />OON'T'RACTOR, NO. <br />'f'AUTFEST, RUSSELL <br />3'¥?5 5'~"H S'T' <br />HUBBARO OR 9?032 <br />PHONE: 981-;9074 <br /> <br /> i'f'~m QUANTITY AJvK.:~N'T <br />Si'rE EVALUAI'iON, FiRS'i' LOT '! $175.00 <br /> <br /> TOTAL ASSE~EO ~EES $175_00 <br /> PREVIOUS RECEIPTS $I'15.~0 <br /> 'T'H~S RECEIPT $0.0C <br /> <br /> BALANCE DUE <br /> <br />PAYEEt RECE2P'f' <br />RECEIVED BY: c"l TYPE; CH~CK ~: O <br /> <br />S~ A'ITACHED BOCU~IENi' FOR REQUiREMEN'f'S OF ON-SI~'E SEWAGE SYS't'E~I. <br /> <br />NOTE: THiS OOE~ NOT GRANT OR ir, IPLY PER~4iSSION TO BUILD ON THiS PARCEL. PLANNING AND <br />COI*ISTAUCTION PE. Rt4iTS FIJST BE OBTAINED BEFORE BUiLDiNG OR SEPTIC INSTALLATiON BEGINS. <br /> <br />RENARKS,: S,tTE EVAL NEW RES & SEPTIC 'f'O REPLACE OLD RES R~2451 /~ <br />f~ONALD E_ WOOI:3LEY, NLARiON COUNTY 6UiLO~NG OFFICJ, AL / BY .............................................................................................~ <br /> <br />FORM # MC 15-56 REV. 4/90 OFFICE COPY <br /> <br /> <br />