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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM1 OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am 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 will be performed by a registered builder. <br />Other_ <br /> <br />I have read and agree to the term8 stated on the reverse side Ct <br />this document. <br /> <br />: ~ifUS~C~L, DAV I D T <br /> <br />TIME: 15:§7:25 TAX LOT; <br /> <br /> ?450 75TH PLACE <br />AUMS,V I LLE <br /> <br /> ~CNTRAOT CITY: USg; <br /> SE <br />OR. ?7,325 MARION COUNTY NO <br /> <br />SUBDIVISION; <br /> <br />, OCCUPANT LOAD: <br /> <br /> NO OF BEDROOMS: <br /> <br />P 0 BOX 869 <br />~UM!.-IV I LLE. OR 97;525 <br />F HONE: ,]99-07,]8 <br /> ; STOCK: : SECTION: <br /> <br />"BEAVER CREEK GARDENS <br /> <br /> SITE HUHBER: 95-00658 <br /> VALUATION: <br />' TOWNSNIP; RANGE: ZONE: <br /> <br />21~-,1, 8 A ;t NO NO <br /> <br />TYPE: OH-SITE <br /> <br />PERHIT OR APPLICAT[OH <br /> <br />COHTRACTOR. NO. <br /> AAA SEPTIC SERVICE <br />PO BOX 20811 <br />SALEM, 97307 <br />PHONE: ~78-7454 <br /> <br />56092 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: YES <br />SITE EYALUAT~ON NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIIq FIELD LINES: <br />SEPTIC TANK PUMF'EB: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEN QUANTITY AMOUNT <br />SITE EVALOATION~ FIRST LOT 1 $280.00 <br /> <br /> TOTAL ASSESSED FEES $280. O0 <br /> PREVIOUS RECEIPTS $265. O0 <br /> THIS RECEIPT Sim, 00 <br /> <br /> ::: BALANCE DUE $0.00 <br />PAYEE: AAA SEPTIC SERVI~E <br /> RECEIPT NO." 63¢?24 <br />RECEIVED BY: CR .................................. TYPE: OK CHECK ~: 0 <br /> <br />SEE ATTACHED DOCUMENT FOR:REQUIREMENT~ OF ON-SITE SEWAGE :SYSTEM. <br /> <br />NOTE: TNIS DOES NOT 6RANT OR IMPLY PERMISSION TO BUILD ON THIS PARCEL. PI_ANNIN~ AMI) <br />ONSTRUCTION PERMITS MUST BE OBTAINED BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS,, <br /> <br />REMARKS: SE *~*DENI~ED*** HOLD 90 DAYS 10-7-94 * DENIED <br /> <br />DOI,IALD E. WOODLEY~ MARION COUNTY BUILDING OFFICIAL. / BY <br /> <br />OFFICE COPY <br /> <br /> <br />