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m <br /> <br />MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STR,EET NE <br /> SALEM, ~)REGON 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 /> <br /> Other_ <br /> <br /> DATE: 08/14/92 TIME: 15:$0:,57 <br /> <br />'.~1~08 ADORESS; ~N~fRUCTION TYeE; OOCuPAN~Y~ <br /> ii~i STEINKAMP RO SE <br /> i <br /> <br /> BITTER HILL <br /> PO BOX 20~25 ' <br /> ~EIZER OR 97507 SITE NUHBER: 92-025~,S <br /> PHONE: <br /> <br />' ~ ; 28 88 i &W ' ~R ~ 48 <br />Wi~T~; <br /> <br />'DEPTH: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERHIT OR APPLICATION NO: 41426 <br /> <br />CONTRACTOR, NO. <br />HILLIGOSS <br />PO BOX 20125 <br />KEIZER OR 97307 <br />PHONE: <br /> <br />HATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELO LINES; <br />SEPTIC TANK PUHPED: <br />PREVIOUS NO. 8EOROONS: <br /> <br /> ITEM <br />SITE EVALUATION, FIRST LOT <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> 1 $220.00 <br /> <br />$220.00 <br /> $o.oo <br />$220.00 <br /> <br />8ALANOE DUE $0.00 <br /> <br />PAYEE: ~^^ I/'") RECEIPT NO: 43?94 <br />RECEIVED BY: MB__~L_'~__ _ TYPE: CHECK ~: 6772 <br />.......................... ====================== ....................................... <br />S~E ATTACHED DOCUME~ REQUIREMENTS OF ON SITE SENAGE SYSTEM. <br /> <br />NOTE: THIS DOES NOT GRANT OR IMPLY PERMISSION TO BUILD ON THIS PARCEL. PLANNING AND <br />ONSTRUCTION PERMITS MUST 8E OBTAINED BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS. <br /> <br />REHARK$: EVALUATION IN ANOTHER AREA THAN ORIGINAL 85-661 <br />DONALD E~ ~OODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />