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OONALD E. <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PRONE: 588-7904 <br /> <br /> am a registered builder OR ( ) the authorized representative <br /> of a registered buitder, <br /> <br /> Other_ <br /> <br /> DATE: 12/02/92 TIME: 15:45:38 <br />OWNER; T HERR I EN, HARRY TA&XS-¢~;7~O-"050 ~%NT I AL <br /> <br />SITUS ADDRESS: ' ~ONsTRUCTION TYPE: OCCUPANCY: <br /> <br /> 7908 STONE FIELD CT SE <br /> AUMSVILLE OR 97325 O~CUPANT LOAD: <br /> <br /> STONE FIELD GLEN <br />7771 TERRANCE LANE <br />AUHSVILLE 97525 WK 750-4552 ~'~Y£'"~NBEE:~%°~ <br />PRONE: 749-2666 VALUATION: <br /> <br />LOT: BLOCK: : SECTION: <br /> 4 26 <br /> <br />WIDTH: OEPTBi AREA'. <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 9045155 <br /> <br />CONTRACTOR, NO. <br />TNERRIEN. HARRY <br />7771 TERRANCE LANE <br />AUMSVILLE 97525 UR 750-4552 <br />PHONE: 749-2666 <br /> <br /> WATER SUPPLY: PW <br />.TEST HOLES READY: <br /> SITE EVALUATION NUMBER: 7-76-8 <br /> EXISTING TANK SIZE: <br /> EXISTING ORAIN FIELO LINES: <br /> SEPTIC TANK PUHPED: <br /> PREVIOUS NO~ BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br />SAND FILTER 1 $36.5.00 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />PAYEE: RECEIPT NO: <br /> <br />$565.00 <br />$210.00 <br /> $0_00 <br /> <br />$155.00 <br /> <br /> REOEIVEO BY: CL ................................... TYPE: CHECK b: 0 <br /> <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEH. <br /> <br />* THIS IS NOT A PERMIT. THIS APPLICATION HUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MOST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSORE 1HAT <br />ALL NECESSARY INFORMATION HAS SEEN PRO¥IQEO. <br /> <br />PLAN REVIEW: 8Y .................... DATE ............. CITY JURISDICTION: 8Y ................... OATE_.~ ................... <br /> <br />REMARKS: NEW SEPTIC SYSTEH - OLO SITE EVAL OOES NOT SHOW APPROVED AREA - TEST" <br /> NOLES READY 11-~8-92 LG 22-2-92 HOLD FOR 8AL DUE & SANDFILTER <br /> <br /> OFFICECOFY <br />FORM # MC 15,56 REV. 4/90 <br /> <br /> <br />