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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG 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 />Other <br /> <br /> DATE.' .1,0/2.1./92 TIME~ <br /> <br /> 9ARCIA BARBARA <br /> <br />SIGNATURE OF AppLiCANT <br /> DATE <br /> <br /> TAX hOT <br /> 56085~0092 <br /> <br /> CONRT~CUCTIO N Typ~ <br /> <br />CATEGORY <br /> RESIDENTIAL <br /> <br />OCCUPANCY <br /> <br /> 9832 JOROON ST <br />AUMSV~LLE <br /> <br /> SE <br />OR 97~25 <br /> <br />PHONE: <br /> <br />585~7678 <br /> <br />ON: <br /> <br />18 8S 1W EFU 46 <br /> <br />TYPE: ON-SiTE SEWAGE <br /> <br />PERHIT OR APPLICATION <br /> <br />CONTRACTOR, NO, <br />6AROIA BARBARA <br />SAHE <br /> <br />PHONE; 585-7678 <br /> <br />~04~ <br /> <br />SITE EVALUATION NUHBER: <br /> <br /> X STiN9 DRA . IELO L;NES: <br />SEPTIC TANK PUMPED: <br /> <br /> ITEM <br />ANNUAL EVAL. - TEMP OR H[ <br /> <br />PAYEE: TRANSFEEE <br />RECEIVED BY: <br /> <br />SEE ATTACHED <br /> <br />FOLLOWING <br />ALL NECE$SAI <br /> <br />MH <br /> <br />TOTAL A$SE$$EO FEEs <br /> <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br /> $ALANCE DUE <br />........... <br /> <br /> ~UANTITY ~hOUNT <br /> 1 $75.OO <br /> <br /> :'¢ <br /> $0.o <br /> <br /> -'---,.-m_ ~oo <br /> RECEIPT NO: 45428 <br />TYPE: OK CHECK ~: 0 <br /> <br /> FOR REQUIREMENTS OF OH-SITE SEWAGE SYSTEM. <br /> <br /> PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE THE <br /> BE COMPLETED_ IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THaT <br />INFORMATION HAS BEEN PROVIDED. <br /> <br />PLAN <br /> <br />~ BY .... . ...... DATE <br />HARDSHIP <br /> <br />CITY JURISDICTION: BY .......... DATE ...... <br /> <br />OFF~CECOPY <br /> <br /> <br />