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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 22S <br />220 HIGH STREET NE <br /> SALEMt OREGON 9'/'301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4;30 P.M * 8'00 A M- <br /> <br /> 11598 MCCLELL./~ RD <br /> AU~VILLE <br />U$~ OF 0UILDING <br /> <br />OR 97325 <br /> <br />COUNTY <br /> <br />NO <br /> <br />CONTACT: ART C:iI~3~E <br />1795 - 15TH ST SE <br />PHQNE~ 769-2330 <br /> <br />97302 <br /> <br />SITE NUMBER: <br />,~,.c~/ALuAT'I'CN: <br /> <br />MAP <br /> <br />1. O0000 AC <br /> <br />YES NO <br /> <br />62 <br /> <br />TYPE: ON.-~ITE SENAGE <br />PERMIT OR APPLICATION NO: 9019311 (~ <br /> <br />7 5 TH ST SE ..t%~LEN <br />PHONE: ?69-2330 . <br /> <br /> ITE~ <br />SITE EVAL. - FIST 1000 GAL DSF <br /> <br />I~.TER SUPPLY: <br />TEST HOLES READY; NO <br />SITE EVALUATION NUN~ER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES; <br />SEPTTC TANK J:~JMPED: <br />PREVIOUS fiG+ BED~: <br /> <br />TOTAL A.SS~ED FEES <br />PREA/IOU$ RECEIPTS <br />THIS RECEIPT <br /> <br />BA~ DUE <br /> <br />qUANT'rTY <br /> 1 $175.00 <br /> <br />PAYEE: MEEK~R fERTILIZER) <br />~ECEIVED BY-' <br /> <br />SEE ATTACHED DOCUf,IlB4T POR RE~[R~ OF ON-~ITE SEINAC_.-,E SYSTEM. <br /> <br />$175.00 <br /> $0.00 <br />$175.00 <br /> <br />$0.00 <br /> <br />I~CE[PTNO= 20490 <br /> <br />TYPE: CK CHECK ~: 16085 <br /> <br />NOTE: THIS {X)EN~T ~I~,NT (~ llt~t,Y E~RMi~SlCH TO BUILDQN ~IS PANEL. P~I~D <br /> <br />P~ ~I~: 6Y~ DATE~~ CI~ JURISDZCTI~: <br /> BY <br /> ~TE~ <br /> <br />R~ SITE ~AL ~Y156 <br /> <br />OFFICE COPY <br /> <br /> <br />