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MARION COUNTY BUILDING INSPECTION <br />SENAT. OR 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 registered bullder. <br />The work will bo performed by e, registered builder. <br />Other <br /> <br /> CATE: 10/28/92 TIHE: 11:55:28 <br /> FACAN, R[CHARO <br /> <br />SIGNATUR~ 0¢ APPLICANT: <br /> DATE; <br /> <br /> TAX LOT; <br /> <br /> CONSTRUCTION TYPE~ <br /> <br /> CATEGORY; <br /> RESIOENTIAL <br />' OCOpPANCY: <br /> <br /> 759~, BISHOP RD <br />AUHSVILLE <br /> <br />OR ¢7525 <br /> <br />SUBDWISION: <br /> <br />OCCUPANT LOAD; <br /> <br /> 4 <br /> <br />LOT: <br /> <br />PHONE: <br /> <br /> NUHBER: <br />UATION: <br /> <br />RANGE: ZONe; .... MAP: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />FAGAN~ RICHARD <br /> <br />PHONE: 749-284~ <br /> <br />MATER SUPPLY: <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING ORAiN FIELO LINES: <br />SEPTIC TANK PUMDEO~ <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEN <br />AUTHORIZATION NOTICE - FLI <br /> <br />PAYEE: <br />RECEIVED BY: CL <br /> <br />SEE ATTACHEO <br /> <br />THIS IS NOT A <br /> <br />'ISIT <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE OUE <br /> <br /> TYPE= <br />FOR REQUIREMENTS OF ON-SITE SEWACE SYSTEM. <br /> <br /> THIS IS A CANCELLATION OOCUHENT. <br /> <br />QUANTITY <br /> <br />CHECK <br /> <br />AMOUNT <br /> $0.00 <br /> <br />$0.00 <br />$0.00 <br />$0.O0 <br /> <br />$0.00 <br /> <br />0 <br /> <br />REMARKS: <br /> <br />OF UNISSUED APPLICATION 9043457 <br /> <br />OFFICE COPY <br /> <br /> <br />