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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 em performing work on a property I own or occupy. <br />I am a registered builder OR the authorized representative <br /> of a registered builder. <br />The work w be performed by a regis ered builder. <br />Other_ <br /> <br /> ]~ATE: 10122193 TIME,~ 13:40:24 <br />i OWNER: <br /> H[JIR~ JOHN & D[]NALEE <br /> <br />[ m~TU~ aOO~ES~: <br /> <br />AUMSVILLE <br /> <br /> · '~A~ LO'F: ........ /'b~Y~ ...... <br /> 56:L09-000 i RI~;S]:BENTIAL <br /> CONSTRUCTION TYPE; ¢ OCCUPANCY; <br /> <br /> SE <br />OF< 97325 , <br /> <br />i]USE o~ gu~¢oi~e: .... <br />'MAICIN~ ADDRESS; SUBDIVISION; <br /> <br /> SAME <br /> <br /> F'HONE: <br /> <br />i L~T i BLOCK'. SECTION: <br />I WIOTH: 'DEPTH: AREA: <br /> <br />SITE NUMBER: <br />VALUATION: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION <br /> <br />MUIR~ JOHll & DONALEE <br />SAt4E <br /> <br />F'FIONE: 747-,3709 <br /> <br />9858851 <br /> <br />WATER SUPPLY: F'W <br />TEST HOI_ES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: 1800 <br />EXISTING DRAIN FIEL, D L,,]:NES: <br />SEPTIC TANK PUMPED: 8/19/93 <br />PRE¥IOUS NS. BEDROOMS: 2 <br /> <br />220 <br /> <br /> ITEM QUAN¥ITY AMOUNT <br /> AUTHORIZATION NOTICE - FL]). VISIT I $160.00 <br /> <br /> TOTAL ASSESSE]) FEES $160,,00 <br /> PREVIOUS RECEIPTS $8,, 00 <br /> THIS RECEIPT $160.00 <br /> <br /> BALANCE 'DUE $0.00 <br /> PAYEE: MUlR~ JOH~.Qq~LEE . RECEIF?: ~): , 53264 <br /> RECEIVED 2 BY. MB~[~ . _ TYPE:'"CK CFECK ~: 36800 <br />........ ........ ......... : ............... :._: ..................... - <br /> SEE AT'T~CHE')~OCUHEN~REQUIRE.ENTS OF ON'"SZTE SE"~GE SYSTEM. <br /> <br /> * THIS IS NOT A PER~IT. THI~ APPLICATION ·MUST GO THROUGH A REViEW.PROCESS ~ERE THE <br />FOLLOW];NG ~UST ~E COHFLETE~. IT IS THE RESPONSIBiLiTY OF' THE: APPI_~LANT TO ASSURE THAT <br />ALI. NECESSARY INFORHATtO~ HAS BEE~ PROVIDED. <br /> <br />FO~ ¢ uc f s-~e BEV,.~ OFFICE COPY <br /> <br /> <br />