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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH ~TREET NE <br /> SALEM, OREGON 97301 <br /> <br />PHONE: 588-5147 8:00 - 4:30 <br /> <br /> · <br /> <br />AURORA OR 97002 <br /> <br /> [ <br /> <br />5~Kg OSWEGO, OR 93035 ~ SITE N~ER: 94-00776 <br />PNONE: 63g-88Sl [ VALUATION: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR ~PPLICATION NO: 9053093 <br /> <br />CONTRACTOR, NO, <br />~OGAN, JACK <br />2575 $~ PALISADES CREST' DR .... "'' <br />LAKE OSWEGO, OR 97035 <br />PRONE: 638-888I <br /> <br />TEST HOLES READY: <br />SiTE EVALUATION NUMBER: <br />EXISTING TANK S~ZE; <br />EX~STiNG DRAIN FIELD bINES: <br />SEPTZC,T~K ?UHPED: <br />~R~VIOUS' NO.. BEDROOMS: <br /> <br /> ITEM QUANTI~Y AMOUNT <br />SITE EVAL. - FIRST $000 GAL. DSF · · ' " = $265.00 <br /> .... ':' " TOT~AsSE$SED:,iFEgS $265.00 <br /> , .:: :::,.,.,,,',, .~EV'ZO~S~REC~Z~TS So.oo <br /> "',',"' TNZ$'~EC~I~: $265.00 <br /> · . ' · .... ?,':,f: ~.,~E' $0·00 <br /> ";'"'"J""!"""'"?!":',;r,',L:,',t~.........-.~'/,,,' ,,.:...:.. <br />PAYE~; OREGON PACIFICCOMST~UCTION ..... ,4.,..,~,,, RECEIPT NO: 5555~ <br />R~CE/VED BY: PM ....... .' :.. "-' '"-" :"' ....... ',' ...... ".' i! TYPE: CK CEECK #: 14675 <br />SEE ATTAC~D DOCUMENT.FOR RKgUIRE~ENT$.0~ 'ON=~iTE'"~WA~E SYSTEM. <br />" ............... " ""-~-:'--:7'-,~-~ ..... ",,~--~----7,'---= .................................. <br /> <br /> ONSTRUCTION PERMITS ~U~T BE. OBTAI.NED..BEFORE BUILD'I.NG~OR SEPTIC INSTALLATION B~G~F$. <br /> <br />PLAN REVIEW: BY DATE ." , cITY JURzSDzC,ION. BY DATE <br />RE,ARKS: <br /> <br />~o~ # ~c ,~.~ .~,. ~m OFFICE COPY <br /> <br /> <br />