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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 />of ~ registered builder. <br />The work will be pedormed by a reg{stered builder. <br />Other <br /> <br />! N,T. LI,. S,~ KEV~N ~24J8-090 RES~DEN'T'IAL <br /> <br /> II~l HOWE ST __ CONTRACT ~ltY; U~B'. OCCUPANT LOAD; <br /> 9ETEOII' OR 97342 DETROIT NO <br /> <br /> , SITE NUMBER: 94-8B823 <br /> PNONE= ~54-3797 ~ VALU~TION= <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PER~iT OR APPLICATION <br /> <br />CONTRACTOR. NO, 84745 <br />Kevin M Hills <br />PO Box 465 <br />Detroit~ 97~42-~000 <br />PHONE: 854~3797 <br /> <br />§~17& <br /> <br />WATER SUPPLY: CW <br />TEST HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINE~: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO, BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br />SITE EVALUATION~ FIRST LOT 1 <br /> TOTAL: ASSESSED FEES $265.00 <br /> PREVIOUS RECEIPT~ $265. <br /> THI ~, RECK '.[ PT' <br /> <br /> BALANCE DUE~ <br /> <br />PAYEE: INVOICE NO: <br />RECEIVED BY: PB ........................................ TYPE: <br /> <br />~EE ATTACHED QQCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEH. <br /> <br />NOTE: THIS DOES NOT GRAMT OR IMPLY PERMI-SSION TO BUtLg ON TNIS PARCEL,. PLANNING AND <br />ONSTRUCT:fON PERMITS MUST BE,OBTAINEI)BEFORE.:BUI[J)INC, OR SEPTIC INSTALLATION BEGINS. <br /> <br /> RE]MARKS: SE. ,S'FANDARI) ORIGTJ-IAL A, II) SAND FILTER REPLACE~tENT. ~ <br />· ~IH]NALI) IS. WOODLEY~ MARION COUNTY BUILiDIHG OFFICIal_ / BY . ......................................................... <br /> <br />~o~ # ~c ~-~ ~v, ,u~ OFFICE COPY <br /> <br /> <br />