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MARION COUNTY BUILDING INSPECTION <br /> · SENATOR BLDG. NO, 225 <br /> 220 HiGH STREET NE <br /> SALEM, OREGON ¢7301 "TM <br /> <br /> PHONE: 588-$147 8:00- 4;80 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I 8~m ~ registered builder OR ( ) the authorized representative <br />of ~ registered builder. , <br />Other .... <br /> <br />OWNER: <br /> 0(~ TE: 07/'22/~-J2 <br />S~TUS ~r)~Cf~LEY' ST[g'E <br /> <br />TIME: 9:52:00 <br /> <br />TAX LOT: <br /> <br />CONTRACT CiTY <br /> <br />L59 4TH eT <br /> <br />OR ~7542 OE1ROfT qO <br /> <br />2 <br /> <br />LOT: <br /> <br /> &804 PEPPERTREE C1' <br />SALEH OR 97~06 <br />PHOME~LO~,~:8-1.602 SAC'nON: <br /> <br />T(~WNSHIP <br /> <br />PAT'ION At)OITION <br /> <br /> SITE NUMBER: 92-0251_5 <br /> V~.~¢. [ iOW. ko~e: <br /> <br />MAP: <br /> <br />1 6 <br /> 9' D l 17 <br /> <br /> 10 5 R <br />iOS~O. SF NO NO <br /> <br />l 0.5 <br /> <br />TYPE: ON-SITE <br /> <br />PERMIT OR APPLICATION NO: 9041421 <br /> <br />(;ON TRACTOR, NO, <br />s'rANLEV,oTEVE <br />1804 PEPPERTREE <br />SALEM OR 97506 <br />PHONE: ~78~'1602 <br /> <br />~ATER SUPPLY: CN <br />'rEST HOLES READY: <br />SITE EV~LU~?ION NUMBER: 41151 <br />EXISTING TANK SIZE: <br />EXISTIN8 DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> :[TEN QUANTtl'Y AMOUNT <br /> STANDARD ON-SiTE SYSTEM L $2:10.00 <br /> <br /> TOTAL ~SSESSED FEES $210,00 <br /> PREVIOUS RECEIPTS $0.00 <br /> THI~ RECEIPT <br /> <br /> B~LANCE DUE $0.00 <br />~]/~EE: S?ANLEY,STEVE INVOICE MO: 45473 <br /> RECEIVED BY: aT ................................................ TYPE: CK CNECK ~: 1954 <br /> <br /> SEE ATT~CNEO DOCUMENT FOR REQUZRSHENTS' OF ON'SITE SEMABE SYSTEM. <br /> <br /> * fHZS ZS NOT ~ PERMIT. THIS APPLIC~TEON NgST 60 fH~OUBN ~ RE¥IE~ PROCESS ~HERE THE <br /> FOLL, O~ING MOST SE COMPLETED, Il' IS THE RESPONSiSIL, II'Y OF TME APPLICANT TO ASS{JOE THAT <br /> &LL NECESSARY INFORMATION HAS SEEN PROVIOED. <br /> <br /> Pt,~N REVrEE/:: SY .................. DATE_. .__~:_.. CITY 3URiSDICTION: SY ................... DATE ............. <br /> R,zMr~RKo: S'l"O SYSTEM <br /> <br />aC. <br /> <br />OFFICE COPY <br /> <br /> <br />