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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 /> I am a registered builder OR ( ) the authorized representative <br /> of a registered builder, <br /> <br /> Other <br /> <br /> OATE: iq/2i/92 <br /> <br /> COOK, ARNOLO <br />:SITUS ADDRESS; <br /> <br />OAYE: <br /> <br /> ;RESIDENTIAL <br />CONSTRUCTION TYPE: i OCCUPANCY <br /> <br />Lc'r; <br /> <br /> 8983 W 8TAYTON RO SE i'~b'~'~,Sf bi¥,¢i 71 o'~-; i oc66¢A~f LOAD: <br />AUflSVILLE OR 97325 ~MARION COUNTY NO <br /> <br /> , i , ~ ~ NO NO <br />...... !,;,,;,, ................................................... 1 ................................ L ................;,';,, i '; ....... L ........................... ~ ......... <br /> <br /> TYPE: ON-SITE SENAGE WATER SUPPLY: <br /> <br /> SITE NUHBER: 92-057~0 <br />PHONE: 749-22~4 VALUATION: <br /> <br />9043340 <br /> <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO~ 8EOROOM$: <br /> <br />PERNIT OR APPLICATION NO: <br /> <br />CONTRACTOR~ NO. <br />COOK~ ARNOLD <br />SAME <br /> <br />PHONE: 74~-~2~4 <br /> <br /> ITEM QUANTITY AMOUNT <br /> ANNUAL EVAL. - TEND OR HDSHP HH S $75.00 <br /> :TofAE A:$SE$~£D FEES $75.00 <br /> :PREVIOUS RECEIPTS $0.00 <br /> ~HI8 RECEIPT $75.00 <br /> <br /> PAYEE: TRANSFERE ~ROM!P~ANNIN8 DEPT RECEIPT NO: 45427 <br /> RECEIVEO BY; GL TYPE: CK CHECK ~ 0 <br /> SEE ATTACHEO DOCUMENT FOR REQUlREMENT$]O~ O~$ITE SEWAGE 9YSTEH. <br />* T~IS IS ROT A PER~IT. THIS APPLICATION ~UCT ~0 THROUGH A REVIE# PROCESS WHERE THE <br />FOLLOWINS MUST BE OOMPLETED. IT I$ THE: RE3PONCIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY iNfORMATION HAS 8EEN PRO¥I, DEO. <br /> <br /> LC_o :: <br /> PLAN REVIEW: BY E ........ CITY JURISDICTION: BY ........ DATE <br />RE.A KS, MAR0SMI.- Yqo <br /> <br />SOR~ # ~C t~-~ R~, .~ OFFICE COPY <br /> <br /> <br />