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MARION COUNTY BUILD ,I~'/-~-¢$PECTION <br /> SENATOR BLDG, <br /> 220 HIGH STREB, 'NE <br /> SALEM, OREGON ~7301 <br /> <br /> PHONE: 588-5147 B:O0 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />MURRAY, JOHN : ~$~AL <br /> <br /> 13182 ~UR/AY LANE NE <br /> AURORA OR 97002 <br /> <br /> 12490 SW LONGHORN LANE ~A <br /> BEAVERTON OREGON 97006 ~ SI~ ~ER: 94-OO653 <br /> 2HONE: ~'~:~'1052 ~ VALUATION: <br /> <br />TYPE:ON-SITE SEWAGE <br /> <br />PERMITOR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />~URRAY, JOHN <br />12490 S~ LONGHORN LANE <br />BEAVERTON OREGON97006 <br />PHON~: 524-1052 <br /> <br />9052893 <br /> <br />WATER SUPPLY: P~ <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: 34388 <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUHPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br /> ~'?ANDARD OM-SSTg SYSTEM 1 $255.00 <br /> <br /> TOTALASSESSED FEES $255.00 <br /> PREVIOUS RECEIPTS $0.00 <br /> ,: THIS RECEIPT $255.00 <br /> BALANCEDUE $0.00 <br /> PAYEE: MURRAY, JOHN RECEIPT NO: 55358 <br /> RECE~iVSD BY: CL TYPE: CE CHECK ~: 0 <br /> SEE ATTACHEJ) DOCUMENTWORREQU~RE~ENTSOFON-SITE SEWAGE:SYSTEM. <br /> *,T~iS IS, NOTA A REVIEWPEOCESS WNERE THE <br />I:'of.f,OWfMG MUST BE COMPLETED. IT IS THE RESPONSISiILITY OF THE APPLICANT TO ASSURE '['HAT <br />__,ALL NECES~Tu~RY INFORMATION,,-~ BEEN P~VIDE~. <br /> <br /> REMARKS: SS: STD ~ERMIT <br /> <br />fl, <br /> <br />~oRa. Mc ~s.~ ~'. 4,'~ OFFICE COPY <br /> <br /> <br />