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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 - 4:80 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />( Bm perfor.miflg work on a property I OWN Or O00upy. <br />lamaregiCteredbuilderOR( )~heauthorizedrepfe¢entative <br />o a regis ered bu der <br />The work will be performed by a reOistered builder. <br />Other , <br />I have read 8nd agree to the terms stated of~ the reverse side of <br /> <br /> BATE: 02/10/95 TINE: <br /> SNYOER., DANIEL <br /> <br />CATEGORY: <br /> REo1OENT;AL <br />OCcuPANCY: <br /> <br />TYPE; <br /> <br /> ].1812 STEINKANP RD <br />A NSV[Li_.E OR 9732~ <br /> <br />USE OF BUILDING: <br /> <br />715 EUALD AVE SE: <br />GALEN OR 97302 <br />PNONE: 565"-6518 <br /> <br /> CITY; UGB: OCCUPANT LOAD: <br />~RION COtJNTY NO <br /> <br />SITE NUN~ER: 9~-00542 <br />VALUATION: <br /> <br />LOT: <br /> <br />WIDTH: <br /> <br /> BLOCK; <br /> <br />DEPTH: <br /> <br />±.87 AC HO HO <br /> <br />MAP: <br /> <br /> 4S <br /> <br />TYPE; ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 904527~ <br /> <br />OONTRACTOR, NO_ <br />SNYDER, D~NIEt.. E- <br />71,5 EW~LD AVE SE <br />S ~ L ¢_"i'1 OR <br />PHONE: <br /> <br />i WA'TIER SUPPLY: P~ <br /> TEST NOLES READY;: NO <br />I]SITE EVALUATION NUHBER: <br /> EXISTING T~NW SIZE= <br />~ EXISTING ORAIN FIEL, D L:NES: <br />~ SEPTIC TANK POHPED; <br />I PREVIOUS NO- BEDROOMS: <br /> <br /> :TEM QUANTITY AMOUNT <br />SITE EVALUATION, EA. ADOL. LOT I $225 O0 <br /> <br />TOTAL ~SSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />.$'2..'25. O0 <br /> $ 0.0 o <br />$225 .()0 <br /> <br />BALANCE OUE $0_00 <br /> <br /> ~N q¢~EJ¢-¢. RECEIPT ND., 4744? <br />PAYEE: o YOER, ¢ E . .',~ ~ ,, ~ ~ <br />RECEIVED 8Y~ ~//I/I ~'"'% TyCrr- ¢'~ mA~r-~ ~. io~A <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />NOTE: TNIS DOES NOT GRANT OR IMPLY PERMISSION TO BOILO ON TNIS RflROEL. PI...h, NN]N.~* ' ~ AND <br />ONSFRUC'f'~ON PERMIT3 ~US'T. BE OBTAINED BEFORE BUILDING OR SEP'T~C INSTALLATION BE~'T. NS. <br /> <br />PLAN R~VZE[W: aY ........ TE ........... C~TY 3URIaDZCT~ON: 8Y ...................... DATE <br />REMARKS: c~ITE EVALUATION LGT 1 <br /> <br />OFFICECOPY <br /> <br /> <br />