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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 />[ am performing work on a property I own Ct OCcupy, <br />~ am a registered builde¢ OR the euthorized represents:ire <br />OI a registered builder, <br />The WOrE will be performed by a registered buitder. <br /> <br />:~IGNATURE OF APPLICANT: ............................................... <br /> DATE: <br /> <br /> ])ATE: 01/25/94 TIME: 14:02:59 <br />i-~J~ .............................................................................................................................................. ~ TAX LOT; ' <br />' W~LSON~ GLENN H & ALICE M ~ 7tes~16e RESIDENTIAL <br />~'~]~S Ab'd~s~7 .......................................................... ~b~uc~oN ~PE; oc~up~NC~T .............. <br /> <br />', 11631 STEINKANP ~ SE ~ <br /> AUMSVILLE OR ~732~ ~ <br /> ................................ <br /> <br />SIllE I~UHBER: 94-S8~4;~ <br />VALUATION: <br /> <br />36647 GILKEY RD <br />SCIO OR 97325 <br />PHONE: 928-3761 <br /> <br /> ~ ~ 5.02i AC I NO NO <br /> <br /> TYPE: ON-SITE SE#~;E WATER SUPPLY: PW <br /> TEST HSLES READY: <br /> PER~IT OR APPLICATION NO: 52163 SITE EVALUATION NUMBER: 85-668 <br /> EXISTING TANK SIZE: <br /> CONTRACTOR. NO. EXISTING DRAIN FIELD LINES: <br /> WILSON. GLENN H & ALICE M SEPTIC TANK PUMPED: <br /> 36647 GILKEY RD 'II "~ iPREVIOUS:NO. ,BEDROOHS: <br /> SCIO OR 97325 ' <br /> PHONE: 728~3761 <br /> <br /> ITEM "' QUANTITY AMOUNT <br /> STANDARD ON-SITE SYSTEH,, , I $255.00 <br /> 'TOTAL A~SESSED' FEES <br /> '' PREYZDUS RECEIPTS" $255.~0 <br /> .... THIS RECESPT .... $e. ee <br /> <br /> .... .i-BAL'~NCE.-DUE.". $0.0o <br /> <br /> RECEIVED BY: PB .... m'' TYPE: CHECK ~: 0 <br /> SEE ATTACHED DOCUHENT FOE REQU~EE~S"'8~ ~N~8I'~''SEWAGE SYSTEM, <br /> <br /> KU~/ZUN hAILS TO NEET'ALL REQUZ~ENTS OP':.S~RTE'.LA~SANB MARION COUNTY BUIL~IN~ AND <br />ZONING ORDINANCES~ THIS PERHIT SHALL BECONE'''NUEL <br /> <br />DONALD E. WOODLEY, NARi'DN. COUNTY BUIL.DIN~ OFFICIAL BY' <br /> <br />~ ~ Mc ~.~ ~,, ~ OFFICE COPY <br /> <br /> <br />