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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 2~5 <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 />t am performing work on a property ~ own or occupy. <br />~ am ~ registered builder OR ( ) the authorized representative <br />of ~ registered buitder, <br />The work will be performed by 8 registered builder. <br />Other <br /> <br />' OWNER; J)ATE~ 0910;L19~ T'IME: 'I5:19:48 .... YA)< LOTi ...... J'~f~b'~i <br /> .... , <br /> ~' T IAL <br /> NEIkO~ J~NES F ~&6.~-~8~ 5 <br /> <br /> i518B P~RK AVE NE , ~ ~ ~ <br /> <br /> AGEMT:M~RTIN CLARK 678-I139 <br />, PO BOX 1(~8 AURORA 97882 i SITE NU~ERJ 9~-82781 <br /> F HONI... 678-2764 ~ VALUATION: <br /> <br />'W DTH 'IDE~H' {' AR~ UN T~S ' R~e LOT CORER ~ <br /> <br />TYPE: OH-SITE SEWAGE <br /> <br />PERHIT OR APPLICATIOH HO: <br /> <br />CON?ACTOR, iqD. <br />NEIRO~ JAMES F. <br />AGEMT.MARTIN CLARK 678=11J~ <br />PO BOX 168 AORORA 9?002 <br />PHONE:: 678-2964 <br /> <br />48937 <br /> <br />WATER SUPPLY <br />TEST HOLES READY: 8-6-'93 <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING BRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QtJANT I TY AMOUNT <br />SITE EVALUATIOM, FIRST LOT 1 $~6~.00 <br /> <br /> TOTAL ASSESSED FEES $265.00 <br /> PREVIOUS RECEIF TS $265.00 <br /> THl~ IS NOT P, f~[~R~IT THIS RECEIPT $0. ~B <br /> TO INSTALL A SEPT[6 SYSTE~ ~nLA~CE ~uE se. ~e <br /> <br />PAYEE: RECEIPT NO: <br />RECE]VE~ BY: DM2 ........................................ TYFE: CHECK ~ e <br /> <br />SEE ATTACHED DOCOMENT FOR REQOIREHENT~ ,OF ON-SITE SEWAGE SYSTEM. <br /> <br />blOTE: THIS DOES NOT GRAMT OR IMPLY PERMISSION TO BUILD ON THIS PARCEL. FI,.ANN,rNG ANI) <br />ONS1RUCTION PERMITS MUST l!E OBTAIMED BEFORE BOILDING OR'SEPTIC IMSTALLATtON BEGINS. <br /> <br /> REMARKS: SE ~ <br /> DONALD E,. WOODL_EY, MAR:iON COUNTY BUlL. DING OFFICIAL / BY .......................................... <br /> <br />~o~ # Mo ,,s-so ~,,,,,~ OFFICE COPY <br /> <br /> <br />