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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 a reDiStered builder. <br /> <br />Other <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document, <br /> <br />WUOD~ . NAYNE ' !RESIDENTIAL <br /> <br /> 7914 S'FOHEF.[EI.,D CT SE <br /> ~[JHSVIL. LE OR ~7:~25 ;~ARIOl4 COUNTY jNO <br /> <br /> Rj~CN~R9 LYON RS 265-6826 <br /> :1.28:¢¢ NE BEVERLY 9R NEWPORT B7565 ; SITE HUNBER: 94-82225 <br /> PHDNE: 74~-22~ ,. ~ALUATION: <br /> <br /> ~ L ....... , ~..~.E~ <br /> <br />TYP[: ON-SITE SEWAGE <br /> <br />PERHIT OR APPLICATIOH HI]: 55565 <br /> <br />COlITEA£.TOR, NO. <br />WOOS, WAYNE <br />RICHARD LYON RS 265-6826 <br />12835 NE ~EVE~LY ~R NEWPORT 97~ <br />PI,,IOHE: 749-22~6 <br /> <br />WATER SUPPLY: F'W <br />TEST HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />EXISTING fANE SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPEB: <br />PREVIOUS NO. BEDROOMS: <br /> <br />ITEM QUANTITY AMOUNT <br /> <br />SITE EVALUATION~ EA. <br /> <br />ADDL.. LOT' 1 <br /> <br />TOTAL ASSESSEB FEES <br />PREVIOUS RECEIPTS <br />THIS. RECEIPT <br /> <br />BALANCE DUE <br /> <br />] AYEE,, <br />RECEIVED BY:: DM ................................................. <br /> <br />RECEIPT NO: <br />TYPE: CHECK <br /> <br /> $225.88 <br /> <br /> $225.88 <br /> $225.88 <br /> $0.88 <br /> <br /> $0.80 <br /> <br /> 0 <br />0 <br /> <br />NOTt":: THIS DOES H,O.T GRANT OR IMPLY PERMISSION TO BUILD Og THIS PARCEL. PLANNING AND <br />OIISTRUCTI:ON ;',SRMITo MOST ~E OBTAINED BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS~ <br /> <br />RF.:MA:~KS~' SE~T.I:READY/HINoR PARI'ITIONING HEEDS STREET NAME:., MARGINAL~ FOR SAND F:[LTER <br />SYSTENS. FIEL. D STAKEOUT RECOMMENDED. : BY ('-~ ' <br />DONALD E. NO[IDLE;Y, HARION COUNTY BUILDING OFFICIAL / <br /> <br />OFF;CE COPY <br /> <br /> <br />