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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 registered builde¢. <br /> <br />Other <br /> <br /> ~ CONTRACT CITY; J UGB; OOCUPANT LOAD; <br /> 200 MILL ST -- ~ <br /> <br />7e38 bECELIS PL ~17 <br />VAN NUYS, CA 9t4~6 ' SITE ~UNBER~ <br />PHONE: 8~8-988-5211 : VALUATION= <br /> <br /> 185 <br /> <br />PERMZT OR APPLICATION <br /> <br />?NTRAC'rOR, NO. 36421 <br />KE:VIN~S BACKMQE <br />PO 80X 465 <br />DETR~IT,~ 97~42 <br />PHONE: 854-3797 <br /> <br />WATER SUPPLY: CW <br />TEST HOLES READY: W/CALL <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING BRAIN FIELD LINES: <br />SEPTIC TANK PUMPEg: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM OUAHTITY AMOUNI' <br />SITE EVALUATION~ FIRST LOT 1 $265.00 <br /> <br />TOTAL ASSESSED FEES <br />PREV'IOUS RECEIPTS <br />THIS.RECEIPT <br /> <br />$265,00 <br /> $0,00 <br /> <br />BALANCE BUE $0.00 <br /> <br />PAYEE: IN¥OICE NO: <br /> <br />REOE:[VED BY: DH ....................................... TYPE: CHECK ~: 0 <br /> <br />,SEE ATTACHED DOCUMENT FOR REQU:IBEflENTE OF ON-SITE SEWAGE SYSTEM. <br /> <br />NOTE: THIS DOES N,qr GRANT OR IMPLY PERMISSION TO BUILD ON, THIS PARCEL. PL. AIINING AND <br />ONSTI~UCTION PERMITS MUST BE OBTAINED BEFORE BUILDING OR SEPTIC INSTALLATION BEGINs. <br /> <br /> REMAI"~K3. ,~E,. MAR;?AL, $PAC~. STAKEOUT RECOMMENDED. KEVIN HILLS.~-3777. MIGHT <br /> SAND FILTER FOR FUTURE REPAIRS. ~ ) <br /> DONALD E. WOODI,.,EY~ MARION COUNTY BUILDING OFEICIAL / BY ~j ~ <br /> <br />OFF:CE COPY <br /> <br /> <br />