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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: 588-514.7 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: 08/14/92 TIME: 1S:30:46 <br />;owNER'. <br />i HILLIGOSS RESIDENTIAL <br /> O~UPANCY: <br /> <br /> 11661 STEINKAMP RD CONTRACT ITY <br />AUMSVILLE OR 97325 HARIoNCco;UNTYi NO <br /> <br /> D]TTER H~LL <br />PO 80X 20~25 <br />KEIZER OR 97~07 BITE HU~BER: 92-025~5 <br />~HONE: ~90-1190 : . VALUATION: <br /> <br />SE ; OOOURANT LOAD: <br /> <br />: 28 i 8S 1W AR : 48 <br />: AREA: UNITS; ; IRREG, LOT: i OORNE '. <br /> 5.02 AC , NO NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 41165 <br /> <br />CONTRACTOR, NO. <br />HIL. LI60SS <br />PO 80X 20125 <br />KEIZER OR 97307 <br />PHONE: 390-iZ90 <br /> <br />WATER SUPPLY; PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: 85-661 <br />EXISTING TANK SIZE: <br />EXISTING ORAIN FIELO LINES: <br />SEPTIC TANK PUMPEO: <br />PREVIOUS NO. 8EOROOMS: <br /> <br /> ITEM <br />STANDARD ON-SITE SYSTEM <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> I $220.00 <br /> <br />$210.00 <br />$210.00 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: , .,~ RECEIPT NO: , <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON'SITE SEWAGE SYSTEM. <br /> <br />NOTE: THIS DOES NOT GRANT OR IMPLY PERMISSION TO BUILO ON THIS PARCEL. PLANNING ANO <br />ONSTRUCTION PERMITS MUST 8E 08TAINEO BEFORE BUILOING OR SEPTIC INSTALLATION BEGINS. <br /> <br />REMARKS: PERMIT <br /> <br />OONALD E. WOOOLEY, MARION COUNTY BUILDING OFFICIAL / BY .............................................. <br /> <br /> OBFICE¢OPf <br />FORM # MC 15-56 REV. 4~0 <br /> <br /> <br />