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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: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other_ <br /> <br /> DATE: 11/23/92 TIME: 11:45:49 <br />OWNER: <br /> PALMER/GROSS CONSTRUCTION <br /> <br />57260000 RESIDENTIAL <br /> <br />CONSTRUCTION TYPE: <br /> <br />OCCUPANOY~ <br /> <br /> 9S98 SILVER FALLS HWY SE <br /> AUMSVILLE OR 9'7325 ~.~ C~:TGuNTY ~: OCCURANT LOAO: <br /> <br />'USE O¢ 801LDING; N0 0¢ BEQ~0dMs: <br /> <br />PHONE: <br /> <br />SITE NUHBER: 92-03874 <br />VALUATION: <br /> <br />WIDTH: <br /> <br /> 13 8S 2W ARS , 49 <br /> ~ IRREG. LOT'. CORNER'. <br /> AREA; UNIT ;F NO NO <br />250 ~EPTH; 609 ; 152250. <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERHIT OR ~PPLICATION NO: <br /> <br />CONTRACTOR. NO. <br />PALMER/GROSS CONSTRUCTION <br /> <br />PHONE: <br /> <br />4~6~6 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: NO <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING ORAIN FIELO LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />STANDARD ON-SITE SYSTEM <br />SITE EVALUATION, FIRST LOT <br /> <br />TOTAL ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />1 $210.00 <br />I $220.00 <br /> <br />$430.00 <br />$430.00 <br /> $0_00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: P8 TYPE: CHECK <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />NOTE: THIS DOES NOT GRANT OR IMPLY PERMISSION TO 8UILD ON THIS PARCEL. PLANNING AND <br />ONSTRUOTION PERMITS MUST 8E 08TAINEO BEFORE 8UILOING OR SEPTIC INSTALLATION BEGINS. <br /> <br />REMARKS: SE & PERHIT <br /> <br />DONALD E. WOOOLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV. 4/90 <br /> <br /> <br />