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MARION COUNTY BUILDING iNSPECTION <br /> SENATOFI BLDG. NO, 225 ~iIii / .. <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 />t am a registered builder OR ( ) the authorized representative ~IGNATURE OF <br />of a registered builder, · - <br /> <br />WILLIAMS, FRANKLIN D. & DELORES '~ 1~5300-~20 ~ ~ENTIAL <br /> <br /> AUHSYI~LE QB ~7~2~ : ~ HARI,ON COUNTY~ NO <br /> <br /> 8~ SHAW SQUARE Rb 9E~ ~ <br /> <br /> .... <br /> ~DEPTH'. ~ AREA; ~UNITS, ~ IRREG· LOT' <br /> 4, 46 L AC NO NO <br /> <br />TYPE: OH-SITE SEWAge WATER SUPPLY: PW <br /> TEST HOLES READY: YES <br />PERMIT OR APPLICATION NO: ?84?744 SITE EVALUATION NUMBER: <br /> EXISTING TANK SIZE: <br />CONTRACTOR. NO. EXISTING DRAIN FIELD LINES: <br />WILLIAMS, FRANKLIN Q. & BE_ORES SEPTIC ~ANE PUMPED: <br />8~9 ~HAW SQUARE R~ SE ''PRE~IOU~ NO. BEBROO~S: <br />AUMS¥ILLE OR 97325 I <br />PHQNE: ~8~-2210 I <br /> <br /> ];TEN QUANT:[TY AMOUNT <br />SITE EVALUATION, FIRS~ LOg' I $26~00 <br /> <br /> ~OTALASSESSED.FEES ~26,.5.00 <br />, :- PREV[OUSRECEIPTS $0,,0~ <br /> " . :,THI,S'REgE.,~PT $265.00 <br /> <br />PAYEE: WI.LIAMS,, ER~N~'~.IB,D;':,,&i,'DELOB~$' ':'":["ii~"':'"~.""~::¢':"'~i' :i RECEIPT NO: 52107 <br /> '~ =' ' Y: ~BI~.~[."~='"':' ,,',,';~,,.,.,,, ~, ......... TYPE: CE CFECK ~: ~0~3 <br /> <br />SEE ATTACHE~ DOCUMENTFOR~,',RE.~U,IREMEN~S,-OF,ON-SITE,_;__ SEWAGE'SYSTEM. <br /> <br /> NOTE.' THIS i~OES NOT GRA THIS PARCEL. F'LANN:[NG AND <br />ONSTRUCI'ION PERHITS HOST BE OBTAIINE~) 'BEFORE.: BUILDING OR ,.S, EPTIC INSTALLATION BEGINS, <br /> <br /> REMARKS; SE:TH:READY 9/8/9~5 : : ~ - <br /> <br />M # MC 15-56 REV. 4/90 <br /> <br />OFFICE COPY <br /> <br /> <br />