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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLDG, NO. 225 <br />2:20 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 builder, <br /> The work will be peHormed by a registered builder, <br /> Other <br /> <br />........ /)A."!;£: _ .02./:20./_%4 'rINE: ~ &2:20:05 ................................. <br /> ALLEN.~ K~N & ,SANDY ]RESIDENTIAL <br /> <br /> 7~27 STONE FIELD CT SE --c~.;~--~-~.,. ~' ~ <br /> AOHSVILt_E OR ~7325 MARION COUNTY~NO <br /> <br /> / STONE FIELD <br /> I SITE HUHBER: 94-82844 <br /> PHONE: 749-186~ I /VALUATION: <br /> i I I · ....... <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERNIT OR APPLICATIOH <br /> <br />CONTRACTOR~ NO. <br />AL. LEN~ KEN & SANDY <br /> <br />PHONE: 749-1868 <br /> <br />~B~6716 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />I EXISTIN~ TANK SIZE: 1288 <br /> EXISTING DRAIN FIRED L~NES: <br /> SEPTIC TANK PUMPED: 8-~1 <br /> <br />400 <br /> <br /> , ITEM <br /> :EXISTING SYSTEM EVAL. <br /> <br /> PAYEE: ALLEN, KEN & S, <br /> RECEIVED BY: JS <br /> <br /> SEE A'rTACHED <br /> <br /> $ THIS IS HOT A PERHI1 <br />FOLLOWING NUST ~E COHP[.E <br />ALL HECESSARY INFORNATIC <br /> <br />QUANTITY AMOIJNT <br /> 1 $168.00 <br /> <br /> $1~0.00 <br />fsi? $8.00 <br /> $160.08 <br /> <br />$8.80 <br /> <br />ii RECEIPT NO: 592Ji <br />"TYPE: CK CHECK ~: 4~.~2 <br /> <br /> :!A REVIE~ PROCESS WHERE THE <br />'~HE APPLICANT TO ASSURE THAT <br /> <br />F'LAN REVIEW: BY ~ ..... BAT, E= .... ~..._=~ CI~' JURISDICTION: BY BATE <br /> <br />RFMARKS: ESF: PArTITIONiNG : , <br /> <br /> OFFICE COPY <br />FORM # MC 11;-~6 REV, 4/90 <br /> <br /> <br />