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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.:20 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder, <br />The work will be performed by 8 registered builder. <br />Other ,,, <br /> <br /> DAf'E: 05/21/92 'F ilv!E; <br />OWNER; T~× L~T: dATEGORY: <br /> LiFFLANDER, JOHN & CAROL 5?685-000 <br />SITUS ADDRESS; CON~ROCTION TYPE; ; ~dOUPANCY; <br /> <br /> 8851 5¢¢ll'fH RD <br />AUMSVI LL, E OR 9?325 <br /> <br />~VgARi ON COL N 7 Y NO <br /> <br />!OCCUPANT LOAD; <br /> <br />MAILJNG ADDRESS: <br /> <br />3290 BALSAIVt DR <br />~ALEI~ OR 9?302 <br />PHONE: 363-6~, 18 <br /> <br />LOT: BLOCK: <br /> <br />WK 3?8-3738 <br /> <br /> ~ECTION; <br /> <br /> SiTE NUMBER; 92-0]~40 <br /> VAL, UATiON= <br /> TOWNSNIPZ RANGE: IZ~E: MAP: <br /> <br /> 2~ 8~,: 2~ SA <br /> UNIT~; IRREG. LOT; ; CORNER: <br />~,4 AC , NO:' NO <br /> <br />51 <br /> <br />tYPE: ON-Si'T'E SEWAGE <br /> <br />PERMtT OR APPLICA]tON NO: 39804 <br /> <br />(~N'T'RAC'f'OR, NO. <br />LIFFLANOER, JOHN & CAROL <br />3290 BALSA~ OR ~ <br />~ALE~ OR 97302 ~K 3'?8-3738 <br />PHONE: 383-6418 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES R~ADY: YES <br />SIT'E EVALUATION NUMBER: <br />EX~S'f'~NG TANK SIZE: <br />EXt~'T'iN~ DRAIN FIELD LINES: <br />~EP'f'tC TANK PU~P~D: <br />PREVIOUS NO. BEOROO¢4S: <br /> <br /> i'fE~ <br />5IT'E gVALUA'flON, ?IRST LOT <br /> <br />TO'['AL A~E~ED FEES <br />PREVIOUS RECE~P'T~ <br />THIS RECEIP'I <br /> <br />QUANII'T'Y AtvFOUNf <br /> 1 $220_00 <br /> <br />¢220_00 <br />229.00 <br /> <br />BALANCE 0UE $0.00 <br /> <br />PAYEE': RECEtP'f NO: <br /> <br /> E(¢EIVEO BY: pb2 .................................................................................................................. TYPE: CHECK ~: 0 <br /> <br />:3EE ATTACHED DOCLII~EN'f' FOR REQUiRE~EN'f'S OF' ON-GIf'E SEWAGE SYS]E~. <br /> <br />NOTE: THIS 00£G NOT GRANT OR iffiPLY P~R~i,S,SION TO BUILD ON THIS PARCEL. PLANNING AND <br />CONSTRUCTION PER~4IT~ ~UST BE O~TAiNED BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS. <br /> <br />RE~ARKS: SiTE EVAL <br /> <br />0ONALO E. N(iX)DLEY, ~ARiON COUNTY BUILDING OFFICIAL <br /> <br />OFFICE COPY <br /> <br /> <br />