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MARION COUNTY BUILDING INSPECTION <br />SENATQR B'LDG. NO. 225 <br />220 H1~GFI 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 builder, <br /> The work will be performed by a registered builder. <br /> Other <br /> <br /> DATE: 10/27/92 TIME: 11:31:12 <br />OWNER; , ~Ax' t_O¥[ <br /> FAGAN~ RICHARO <br /> <br /> 7591 BISHOP RD <br />AUMBVILLE <br /> <br /> CATEGORY <br />: RESIDENTIAL, <br /> <br /> OCCUPANCY; <br /> <br />,us~ OF bUR. DiNE: .......................... <br /> <br />4 <br /> <br />SECTION: <br /> <br />OE,UTH: AREA~ : UNITS: ;' IF~G. LOT: CO~!0Eft: <br />TYPE: ON-SITE SEWAGE WATER SUPPLY: P~ <br /> <br />PERHIT OR ~PPLIOATIOH NO: <br /> <br />CONTRAOTOR~ NO. <br />FAGAN~ RICHARD <br /> <br />PHONE; 749-2841 <br /> <br />904~467 <br /> <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: NO <br />PREVIOUS NO. BEDROOMS: ? <br /> <br /> ITEM QUANTITY AMOUNT <br />AUTHORIZATION NOTICE - FLD. YISIT 1 $1~0.00 <br /> <br /> TOTAL ASSESSED FEES $1~0.00 <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS REOEIPT $0.00 <br /> <br /> PAYEE: RECEIPT NO: <br /> RECEIVED BY: OR .................................. TYPE: CHECK ~: 0 <br /> <br /> SEE ATTACHED OOCUMENT FOR REQUIREMENTS OF ON-SITE SENASE SYSTEM. <br /> <br />* THIS IS NOT A PERHIT. THIS ~PPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION BAS BEEN PROVIOEO. <br /> <br />PLAN REVIEW: 8Y .......... DATE ............. CITY JURISDICTION: BY ......... DATE ............ <br />REMARKS: <br /> <br /> <br />