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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO 2:25 <br />~'. 220 HIGH STREET NE <br /> SALEM, OREGON 9730'1 <br /> <br /> PHONE: 588-5t47 8:00 - 4;30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />ow~E': 12/03/90 31~: 11:09--00 <br /> LONG, IN.[ LL .I. A,~1 <br /> <br />OCCUPANCY <br /> <br />RESi OF_N [ <br /> <br /> 11364 JA~E.~ HAY <br />~IJ~VILLE <br /> <br />OR <br /> <br />9?325 ~ <br /> ......... MARION COUNTY ...... NO <br /> <br />11403 STEINt~NvIP ROAD SE <br />AUIvl~VILLE 97325 <br />PHONE: 749-1223 <br /> <br />$IIE NUJv~ER: 11551 <br />VALUATION; <br /> <br />29 <br />1.~3 AC NO NO <br /> <br />AR <br /> <br />48 <br /> <br />PE&Y'll l OR APPLICATION NO.' <br /> <br />coN fr.~croR, No. <br />LONG, ~ILLiAN <br />1740~ SIEiNK-,AMP ROAD <br /> <br />HATER,SUPPLY: <br />TE~I HOLES READY: NO <br />SiTE EVALUATION NUFF~ER: <br />EXISTING TANK <br />IiiXiSTING DRAIN <br />SEPI'IC TANK PUMPED: <br />PREVIOUS NO. <br /> <br />Sllg EYALUA'I~ON, EA. ADDL. LOT <br /> <br />1 $145.00 <br /> <br />TOTAL~O FE~$ <br />THIS ~.CEIPT <br /> <br />~1~5,00 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPI' NO: <br />RECEi¥~D ~Y: c'J II~IyPE~ r.~HECK ~t 0 <br />$£E A'ITACHEO OOCUMENI FOR REQU~R~F$ OF ON-SITE SEI4AGE SYS'I'F_jv). <br /> <br />NOTE: THiS i~ NOT GRANI' O~ IMPLY PffJ~iE~SION TO BUiLO ON THiS PARCEL, PLANNING AND <br />CON~TRLICTII~N I;>E~,.~tliTS IelU~T BE ~TAINED B~ 6'UILDING OR ~PTiC INSTALLATION 8E~IN~. <br /> <br />R~ARKS: ~E R~475 ~TD SY~EI~/W CURTAIN DRAIN f~ <br />~NALD E. ~.TJDLE~, ~,RION {X.,'tJNTY ~UiLOiNG OFFICIAL / BY ........._~_~.~ <br /> <br />~onu ~'~c ~-~ ~cv ,,~ :, OFFICE COPY <br /> <br /> <br />