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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM~ OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 o 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> DATE'.: 11/25194 TIME: 14:25:4~ <br /> <br /> B~KER~,w'CHUCK <br /> <br /> 82¢1 N. SAN'rIA~ HWY SE <br /> <br />................................................................~,,~,.~ ~oon~ss: <br /> <br /> IHPROVED~ <br /> PHONE: 749-2079 [ VALUATION: <br /> <br /> ........................... ~[~Ld'6~; <br /> <br />PER~IT OR APPLICATION HO: 57118 <br /> <br />COIITRACTOR. 110. <br />BAKER~ CHUCK <br />SAME ~ADDR.TO CH6 W/KASA L <br /> IMPROVED~ <br />PHONE: 749-207? <br /> <br />WA'LEE SUFPLY: pw <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: 57962 <br />EXISTIN~ TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br /> STANDARD UN-SITE SYSTEM I $280.00 <br /> ' 'rOTAL ASSESSED FEES $288. Be <br /> : PRE~IQUS RECEIPTS $0.00 <br /> THIS ~ECEIPT $280. BB <br /> <br /> PAYEE: CHUCK BAKE~ :; RECEIPT NO: 6246~ <br /> ~.6EIV[~ BY: DF' ~__. :: TYPE: 6K CHECK 8: 589 <br /> SEE AI'TACHEB DOCUMENT FOR REQU'IREMENT~ SYSTEM. <br /> <br /> ~ THIS l~ A VALID FROM ~TS ISSUE DATE. IF <br />CONSTRUCTION FAILS TO MEET: AL~. REQUiREMENTS OF S~ATE EAWS AND MARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PEEH=IT;;SHAEL' BECOME NUKE:AND VOI~. <br /> <br /> :: <br /> <br />REMARKS: RECEIVED STAKEOUT18/25/?4 STAKEOUT RECOMMENDED~?4 <br /> AND WELLS <br />DOHAI,,.D E. <br /> <br /> 100~MIN FROM SF'RINI; <br /> <br />WOODL. EY~ MARION COUNTY BIJILDING OFFICIAL / BY ........................................ <br /> <br />OFFICE COPY <br /> <br /> <br />