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MARION COUNTY BUILDING iNSPECTION <br />SEFAATOR 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 />CATE: 09/25/92 <br /> <br />WALLACE <br /> <br />TIME: 16:11:0.2 . , <br /> <br />CONSTRUCTION TYPE: <br /> <br /> RESIDENTIAL <br />OCCUPANCY; <br /> <br /> 9395 PORTER RD SE <br /> AUMSVILLE OR 97325 <br /> <br />'USE OF BU~LOING: ............... <br /> <br />'~ARION COUNTY NO <br /> <br />SAME <br /> SITE NUMBER: <br />PHONE: 749-2645 VALUATION: <br /> <br />92-0~410 <br /> <br />' ' ,BLOCK= BEOTIO~ .......... f~WNSHlY .... = ~ ........... ZONE: <br /> ' 1 gS 2W '...E.EU <br /> 5. AC NO ! NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />WALLACE, P.P~ <br />SAME <br /> <br />9042766 <br /> <br />PHONE: 74~-264~ <br /> <br />WATER SUPPLY: <br />TEST HOLES READY; <br />SITE EVALUATION NU~DER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. 8EDR00MS: <br /> <br /> ITEM QtJANTITY AMOUNT <br />ANNUAL EVAL. <br /> <br />PAYEE: WALLACE, <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$75_00 <br /> SO.OD <br />$75,,O0 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIPT NO: 44841 <br /> RECEIVED BY: CL .......... Z ..... ~2 ................. TYPE: OK CHECK ~: 1438 <br /> SEE ATTACHE0 DOCUMENT FOR REQOIREMENTS 0F 0N~S~TE SEWAGE SYSTEM. <br />· THiS I~ NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST 8E COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORHATIOM MAS BEEN PROVIOEC. <br /> <br />PLAN ATE ¢ ~2 ~;2¢-- <br />REMARKS: HARDSNIP RENEWAL <br /> <br />CITY JURISDICTION: BY .............. DATE ....................... <br /> <br />OFFICE COPY <br /> <br /> <br />