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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />¢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 IT~-~" · ~ <br /> I am per orming work on 8 property I own o~ occupy, <br /> <br />D~E: 12188/94 TI. HE: 16:13:0~ <br /> <br /> 1148~ JAMES WAY SE ~ ""~ i <br /> AUMSVILLE OR 97~25 ~i~Tc~T~TY ~ : OOOUCANY LOAD: <br /> <br />use OF <br /> <br /> 11485 JAMES WAY <br /> ALIMSVILLE 77~25 <br /> F IlOtt~.,, 749-2~54 <br /> <br />SITE NUI~BER: <br />YALUATION: <br /> <br />TYPE: ON-S:~TE SEWAGE <br /> <br />PERHIT OR APPLICATZON <br /> <br />CON'I'~ACI'OR~ NO. <br />JONI'ISON, GI. ORIA <br />11485 JAME~ WAY <br />AUHSVILL. E 77~25 <br />PHONE~ 749-~54 <br /> <br />9~6B139 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUHBER~ <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEP'rIc TANK PUMPED: <br />PREVIOUS NO. BEDROOHS: <br /> <br />ITEM QUANTITY AMOUNT <br /> <br />SITI:!' EVALUATION,~ F:(R~./T <br /> <br />$280.00 <br />$~80.88 <br /> <br />TOTAL ASSESSED FEES <br />PRE¥IOUS RECEIPTS $0.00 <br />THIS RECEIPT $280.00 <br /> <br />BAEANCE DUE $0.08 <br /> <br /> RECEIPT NO: 627~ <br /> TYPE: CE CHECK ~,;; 6268 <br /> <br />PA?.£E: JOFINSOH~ GLORIA <br />RECEIVEP BY: DF ............................................ <br /> <br /> ATTACHED DOCUMENT FOR REQUIREMENTE; OF ON.SITE SEWAGE SYSTEM. <br /> <br /> NO'T'E: THIS ~OES NOT GRANTI OR IMPLY PER~IS?'.ION TO BUILD Ol,I THIS PARCEl.,, PLAI,ININ(; AND <br />ONSTRUCT:rON F,r. RHITS MUS~ B,E OBTAINED B~,..OF(E DUIL~IN~ OR SEPTIC INSTALLATION BEG];NS,. <br /> ~/J <br /> ,-,, ,,, ..................... .......................... <br /> <br /> <br />