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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> <br /> PHONE:588-5147 8:00 4:30 <br /> 24 HOUR CODE-A!PHONE! 588-7904 <br /> <br />OWNER: 0ATE; 02/19/93 TIHE: ,i~:.O0,:5~2, ?×RCOY: <br /> i , : CATEGORY: <br /> ALi.EN KENNEI'N } .57835000 RES IDE!F~'I' [ AL <br /> <br /> . _ , . : : SE: ~ C°NTRACT CITY: ~ '.. ;OCCUPANT LOAD'· <br /> AUHSVZLLE 0R 97525 HRRzON'couN~Y N~ ~ <br />use oF ~U,LmN~: ...... ....... ~: ~ [ <br /> N0 OF BED~OOM~ <br /> <br />MAiLiNG <br /> / <br /> <br /> JMSVILLE OREGON 97325 { SITE NUHBER: 9~-00651 <br /> PHONE: 749-~860 ~ V~LU~T[ON: <br /> <br />:LO'I; <br /> <br />WIDTH: <br /> <br /> TYPE: ON-SITE SEWAGE i NATER SUP~PLY: PW <br /> TEST HOLE~ READY: <br />PERH[T OR APPliCATION NO: 5'045457 SITE EVALUATION NUMBER: <br /> EXISTING TANK SIZE: <br />CONTRACTOR, NO. j EXISTING DRAIN FIELO LINES: <br />ALLEN, KENNETH SEPTIC TANK PUMPED: <br />7927 STONEFIELD COURT,: ::=,,. :: i' P'REVIOU$ NO; BEDROOMS <br />AUNSVILLE OREGON 97325 <br />PHONE: 749-%860 I <br /> <br /> ~:~i:~: r : :iTEM QUANTi'rY AHGUN'[ <br />SITE EVALUATION FIRST:L:OT ':: :::.: ]. $,¢ ~,,oo <br /> <br /> :FEES <br /> , E:OEI PTS $ 0 ,,, <br /> <br />PAYEE: ALLEN, KENNETH,.4~;: ::Hi':::, . : RECEIPT NO" 47420 <br />cEE, ATTACHED O0CUHEN! SYSTEH <br /> <br />NOTE: TNIS DOES NOT GR~N ,ON THIS PARCEL. PI...ANNIN(; AND <br />ONSTRt. CTION PERHITS~HUST_,,BE~:OB~iNE:B,,BEF:ORE,:;:B:U,[L:B:i, N6, OR SEPTIC INSTALLAFI(?N <br /> <br /> OFFICE COPY <br />FORM ~ MC 15-58 REV. ,4/90 <br /> <br /> <br />