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MARION COUNTY BUILDI,NG INSPECTION <br />SENATOR r~LDG. 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 />I am oerformin9 work on a property I owd or'occupy . <br />I am a registered bui der OR ( ) the au hot zed representat ve SIGNATURE OF APPLICANT; <br />Of a registered.builder. , ..... <br />The work'will be pedormed by a r~gistered builder. <br />Other ': ' <br /> <br />this document. <br /> <br /> CATEGORY <br />ALLEN, KENNETH RESIDENTIAL <br /> <br /> CONTRAC~F, CITY: ' VGB: ~OUPANT LOAD: <br /> : :-" "MAR. ION .COUNT · <br /> .NO <br /> <br /> USE OF ...... OF BEQROOMS: <br /> <br /> 7927 STONEFIELD CT ..... <br /> AUMSVILLE.OR-97325 -~ SITE NUMBER: 93-88~52 <br /> PHONE: 749-1868 VALUATION: <br /> <br />WIDTH: -' DEPTH: --~ __~ 2W AR 51 <br /> ~.94[. AC NO <br /> <br />TYPE= 0N-SITE SEWAGE. <br /> <br />PERNIT. . OR APPLICATION,,, , NO: <br />CONTRACTOR~ NO. <br />ALLEN, KENNETH <br />792~ STONEFIELD.CT <br />AUMSVILLE"OR 97325 <br />PNONE=..74?-lS&O <br /> <br /> ITEM <br />SITE EVALUATION, EA. <br /> <br />PAYEE: .' <br />RECEIVED BY: CR <br /> <br />SEE ATTACHED DOCUMENT <br /> <br />454~8; <br /> <br /> WATER SUPPLY: PW. <br /> TEST.HOLES READY, NO <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE. . <br />· EXISTING DRAIN FIE? LINES. <br />'.'SEPTIC TANK'PUMPED. <br /> EDROOMS: <br /> <br />I QUANTITY AMOUNT <br /> 1 $225.00 <br /> <br /> ES $225.08 <br /> -$225.00 <br /> $0.00 <br /> <br /> RECEIPT NO: <br />TYPE: CHECK ~: 0 <br /> <br />SYSTEM. <br /> <br /> NOTE: THIS DOES NOT <br />ONSTRUCTI. ON PERMITS. <br /> <br />THIS PARCEL. PLANNING AND <br />PTIC INSTALLATION BEGINS. <br /> <br /> <br />