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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 />o~ a registered builder, <br />The work will be ¢~erformed by a registered builder. <br />Other <br /> <br />iOWN~R~A') E*' 'I'0/'t7/94 TTHE"" ! tAX LO~; :CATEGORY: <br /> I'UFd!KER, 8LAN ~,57~5ee8 RESIDENTIAL <br /> <br /> ~AR~ON COUNTY <br /> <br /> J~HES H~NSEN~ CONTACT PERSON <br /> <br /> PHONE~ 5~-.~6~-3367 ~ VALUATION: <br /> <br />TYPE; <br /> <br />PERNIT OR APPLICATION NO: ?858?72 <br /> <br />CON'I'RACTOI% NO,, <br />TURNFR. AI~AN <br />JANES RANSEN: CONTACT PERSON <br />5340 ¢OMHERC, IAI. ST SE SALEM 77~ <br />PHONE: 58~-'S6S-~67 <br /> <br />HAZER SUPPLY: PW <br />TEST HOLES READY: NO <br />~IT~ EYALUATION NUMBER: <br />EXISTING TANK SIZE: <br />~XISTIN6 DRAIN FIELD <br />SEPTIC 'rANK PUMPED: <br /> <br /> i TEH GUAHTI TY AMOUNT <br />SITE EVAI_UA'fION.~ EA. AI)DL. LO'T :[ $225.00 <br /> <br /> TOTAL ASSESSED FEES $225.00 <br /> ~ PREVIOUS R~CEIPTS $8. <br /> $225. <br /> .~x THIS RECEIFT <br /> ¢~ $~ .. ~0 <br /> BALANCE <br /> BUE <br /> <br />~:'A~E: I'HRNER~ ALAN ~ R~CEIPT NO: 6154~ <br />RE(.~?IVEB BY~ cI .................................. : .................... TYP~: CK CHECK ~8: <br /> <br />SEE AT1ACHED gQCUHENT FOR REQUIREMENTS OF ON-BITE SEWA6E <br /> <br />NO1F:.: Fl.,II.:, DOES N~IT GRANT OR IMPLY PERMISSION TO BUILD ON THIS PARCEL. PLANNING AND <br />FIHgTRUCFION PERMITS MUoT BE OBI'AINE~, BEFORE BOILQIN6 OR ~EF"I'IC INSTALLATION BEGI'NS~ <br /> <br /> !'l..hN REV.[EH: BY DATE_,.._~_z,_~_._.;__ CITY JURIoDiCIlON. BY .................. DATE .......................... <br /> RI:~.H~RKS; SE TH;NO <br /> <br />OFFICE COPY <br /> <br /> <br />