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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 />DATE: 11/23/92 TIME: 11=45:49 <br />PALMER/GROSS CONSTRUCTION <br /> <br /> g3;98 SILVER FALLS HWY <br /> AUMSVILLE OR <br /> <br />"uSE OF~OIL~IN~;' <br /> <br />57260000 <br /> <br />:bbbueXNCY: ' <br /> <br />PHONE: <br /> <br />SITE NUMBER: 92-05874 <br />VALUATION: <br /> <br />1~ 8S 2W AR~ ~ <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION <br /> <br />CONTRACTOR. HO. <br />P~LMER/GRO~ CONSTRUCTION <br /> <br />PHONE; <br /> <br />WATER SUPPLY: pW <br />TEST HOLES READY: NO <br />SITE EVALUATION NUMBER: <br />~XISTING TANK SIZE: <br />EXISTING ORAIN FIELO LINES: <br />SEPTIC TANK PUMPED; <br />PREVIOU~ NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br />STANDARD ON-SITE SYSTEM 1 $210.00 <br />SITE ~V~LU~TION, FIRST LOT <br /> <br /> TOTAL ASSESSED FEES $4~0,00 <br /> PREVIOUS RECEIPTS $43;0,00 <br /> THIS RECEIPT $0.00 <br /> <br /> BALANCE DUE $0.00 <br />PAYEE: RECEIPT NO: <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF OM-SITE SEWAGE SYSTEM. <br /> <br />NOTE: THIS DOES NOT GRANT OR IMPLY PERMISSION TO BUILD ON THIS PAROEL. PLANNING AND <br />ONSTRUOTION PERMITS MUST 8E OBTAINED B~FOR~ BUILDING OR SEPTIc IN$¥ALLATION BEGINS. <br /> <br />REMARKS: SE & PERMIT <br /> <br />DONALD E. WOOOLEY, MARION COUNTY BUILDIN~ OFFICIAL / BY <br /> <br /> <br />