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MARION COUNTY BUILDING INSPECTION <br /> <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br />SALEM, OREGON 97301 <br /> <br /> PHONE: ~B~5147 8:CX~ - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />nave read ;,nd aote'e lo i'he terms stated on the tevefae sin'S' ot <br /> <br />F'ILE <br /> <br /> PALMER/GROSS CONSTRUCTION 57260000 ' RESIOENT~AL <br /> 81TU~'AOOR~SS: .......................... &b~Y~u~+i6N' ~V~'~ ...... , OCOUPX~OY: <br /> <br /> 9~96 SILVER FALLS HWY SE '~¥T~¥C~......... '*~: .............. ~CUPANTLOA~: <br /> ~UHSV~LLE OR g7325 'HARMON COUNTY~ NO <br />:'us~'o~edi~OlNG: ' .... '~o. DP 9ED~OO~S <br /> <br /> SITE NUMBER: 92-05874 <br />PHONE: V~LUATION: <br /> <br /> ~r.b~: ............... ~'c~'6~ ............ '~o~SHJ~ ........... ?,;,~; ........ ZON~ ' ' · <br /> <br /> ................... ~ ................. _SS ............... L.-~W ................. :, ,AR5 49 <br /> NO ' NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PER~IT OR APPLICATION ND: <br /> <br />CONTRRCTOR, NO. <br />PALMER/~ROS$ CONSTRUCTION <br /> <br />PHONE: <br /> <br />90456~6 <br /> <br />WATER SUPPLY; PW <br />TEST HOLES RE~DY: MO <br />S~TE EVALUATION NUMBER: <br /> T~NK S~ZE: <br />EXISTING DRAIN FIELD LINES: <br />EXISTING <br /> <br />SEPTIC TANK PUMPED~ <br />PREVIOU$ NO. BEDROOMS; <br /> <br /> ITEM <br />STRNOARO ON2SITE SYSTEM <br />SITE EVALUATION~ FIRST LOT <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECE:IPTS <br />?H~S RECEIPT <br />BALANCE'OUR <br /> <br />QUANTZTY ~MOUNT <br /> 1 $22o.00 <br /> <br />$430.00 <br /> $0.00 <br /> <br />$0.00 <br /> <br />P~YEE: PRLHER/GROSS CONSTRUCTION RECEIPT NO: 45704 <br />RECEIVED BY: CL ....................... TYPE: CK CHECK ~: 5229 <br /> <br />SEE ATTP:CHEO OOCUMENT FOR REQUIREMENTS OF ON-SITE· SEWABE SYSTEM. <br /> <br />NOTE: THI~ DOES NOT GR~NT OR IMPLY PERMISSION TO BUILD ON TH~$ PARCEL, PLANNIN~ ~ND <br />CNBTRUCT~ON PERMITS MU~T 8E OBTAINED BEFORE BUILDING OR SEPTIC INST~LL~TION ~EGZNS. <br /> <br />REMARKS: SE & PERMIT <br /> <br />OFFICE COi:~f' <br /> <br /> <br />