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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 22,5 <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 />I am ~ registered builder OR the authorized representative <br />of a registered builder. <br /> <br />SITUS ADDRESS'. ' <br /> FISHER~ PHILLIP & KAT4ERi.NE <br /> <br /> 138 /~8 1/2 ERIN $~ -- CONTRAOTCITY[ JUGS'. iOCCUPANTLOAO; <br /> <br /> DETROIT ' ' OR 97342 ! DETROIT YES <br /> <br /> 5e18 DANIEL ST S <br /> SALEM 97506 WK 588-85~5 ~ SITE HUHBER: 9~-024~6 <br /> PHONE: ~-8877 ' VALUATION: <br /> <br />TYPE: OM-SiTE SEMAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR~ NO. <br />FISHER, PNILLIP & KATHERINE <br />5818 DANIEL ST S <br />SALEM ~7~8~ WK 588-8585 <br />PHONE: J~?-0877 <br /> <br />9848481 <br /> <br />WATER SUPPLY: CW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIEL~ LINES: <br />SEPTIC 'rANK PUMPED: NO <br />PREVIOUS NO. BEDROOMS: I <br /> <br /> ITEM <br /> OUANTITY <br />AIJTNORIZATIQN NOTICE - FLD. VISIT 1 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUSRECEIPTS <br />THIS.RECEIPT <br /> <br />BALANCEDUE <br /> <br /> AMOUNT <br /> $168,80 <br /> $160.80 <br /> $8~08 <br /> $1&8.00 <br /> <br /> $8.00 <br />5079~ <br /> <br /> PAYEE: FISHER. PHILLIP & KATHERINE INVOICE NO: <br /> RECEIVED BY: CR ................................... TYPE: IN CHECK ~: 8 <br /> 8ER ATTACHED DOCUMENT FOR REQUIREMENTS. OF OH-SITE SEWAGE SYSTEM, <br /> <br /> ~ THIS IS NOT A PERMIT. THIS APPLICATION MUST Cd3 THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COHPLETED, IT IS THE RESPONSIBILITY OF THE AFPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION HAS BEEN PROVIDED, <br /> <br />PLAN REVIEW: BY .......... DATE .............. CITY JURISDICTION: BY .............. DATE <br />REMARKS: AN:FLD Pr:NO <br /> <br />FORM # MC 15.56 R~. 4/90 OFFICE COPY <br /> <br /> <br />