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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 NIGH 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 /> DATE; 09/11/9.3 ;r_IME:.. ~2:02=0~ ......... i 't~'t. bf; .................................. ;b~i-~&6~',,;; .... <br /> OWNER: , <br /> <br /> TAUTEEST, RUSSELL : RE~iDSNTI <br />................... : 6ttbp*~, <br /> <br /> AU~ OR 9?002 :': [ <br />us~ o. ~0'iCm~ ............................................................. ~R.[~.-~T¥--~ ........ NO ......................... ',~o~'6~ 's~g.ooas: <br /> <br />3175 5'l"H SI' <br />HUBBARD OR 97032. <br />,"~"{ONE: 981-~0'74 SiTE NU~ER: 32539 <br /> VALUAT J ~: <br /> <br /> i ..... 05 .................. 45_._~ ................... 1~ ....................... EU .......... <br /> ................... , ...... ................ <br /> <br />TYPE: ON-SiTE SEWAGE <br /> <br />PERNIT OR APPLiCATiCN NO: 23867 <br /> <br />CONTRACTOR, NO. <br />'f'AU TFE~ST, <br />3175 5TH $'r <br />HUBBARD OR 97032 <br />PHONE: 981-3074 <br /> <br />WAI'ER,~SUPPLY: ~,~ <br />TEST HOLES READY: HILL CALL <br />SITE EVALUATION NURSER: <br />ES<iSTIN~ TANK ~IZ~: <br />~I~'TING D~iN F~ELD LIN~ <br />SEPTIC 'r~K ~P60: <br />PR~I~S NO. BEOR~: <br /> <br />SiTE ~WALUA'I'iCN, FI$1~T LOT <br /> <br />TOTAL AE~F.~EO FEES <br />PREVIOUS RECEIPTS <br />THiS R~CEIPT <br /> <br />SALANCE UJE <br /> <br />PAYEE: ~ECEIP'r NO: <br /> <br />RECEIVE0 BY: c'l TYPE: CHECK <br /> <br />~SE A'f'TACHED OOC~N1FJg'r FOR R~w,.~iREMENTS OF ~-SITE S~AGE <br /> <br />NOT[: THiS DOES NOT GRANT OR i~oLY PERditiON TO BUILD ON THIS PARCEL. PLN4NING AND <br />C~TNSTRUCT[ON PEi~v~iTS lvLJST BE OBTAINED BEFORE BUiLOING OR SEPTIC INSTALLATION BEGINS+ <br /> <br />RP.J'v'C~RKS: SiTE EVAL N~W RE8 ~ SEPTIC TO REPLACE OLO RES R~2451 ~ ~ <br />(JONALO E_ ~DLEY, ~R[ON C'OUNTY BUILO£NG OFFICIAL / BY .....................................................~ <br /> <br />OFFICE COPY <br /> <br /> <br />