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MARION COUNI'Y BUILDING INSPECTION <br /> SENATOR BLDG. NO. 225 <br /> 2~0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:QO - 4:30 <br />24 HOUR CODE-A~PHONE: 58~-7g04 <br /> <br /> DATE: 10/i6/92 TIME: lO:~O:Sl <br /> JEFFREY, CHASE 772~112 RE~]~OENT1 ~L <br /> <br />: DETROIT OR ~T~42 ' · <br /> <br /> , PATTON ADDITION <br /> 5~20 NW ESTER ST .- ............ <br /> <br /> 3 ', 2 2 : ~0 I 5E 105 <br /> TYPE: ON-S~TE SEWAGE WATER SUPPLY: <br /> <br />'OR APPLICATION NO: 4~675 <br /> <br />CONTRACTOR, NO, <br />JEFFREY, CHASE <br />5~20 NW ESTER ST <br />VANCOUVER~ ~A 98663 <br />PHONE: 205-6~5-0966 <br /> <br />TEST HOLES READY: YES <br />SITE EVALUATION NUHSER: <br />EXIJTIH6 TANK SIZE: <br />EXISTIN60RAIN FIELO LINES: <br />SEPTIc TANK PUHPEO: <br />PREVIOUS ilO., BEDROOHS: <br /> <br /> ITEH ~UANTITY AMOUNT <br /> SITE EVALUATION, FIRST LOT : :. 1 $220.00 <br /> : TOTAL',ASSES~ED FEES $220.00 <br /> ..... [ : ·PREVIOUS RECEIPTS $220.00 <br /> <br /> , ,'; ;¢~LANCE?UE" <br /> · . $0.00 <br /> .,:..?,...:'! .... :..,,¢,,.....,,:'. .'...:;, "...,, <br />PAYEE: ', ...... .'",""-'"' ' ....... ;-- INVOICE NO: <br />RECEZVED BY: PB <br />SEE ATTACHED OOFUMENT'FOR'."REOUtRE~ENT$' <br /> <br /> · · :,i ':':,,'..'3'7 .'.", .'.:'," .. , <br />NOTE: THIS OOES NOT ~RAN~..OR I'MP[-Y,'PERMIS~¢N TO BUILD 'OH THIS PARCEL. PLANNIN8 AND <br />ONSYRUCTION PERHZT$ HUST.BE, OBIA.INEO.BEFORE 'B'U'~'LGING OE SEPTIC INSTALLATION BEGINS_ <br /> <br />RE,HARKS: SITE EVALUATION. APPROVED FOR 2 ~8EOROOM RESIDENCE MA×~MUM, SEEPAGE TRENCH <br /> SYSTEM. MAY NEED AN E£F~LUENT,.PUMP ' <br />DONALD E. WOODLEY, MARION COUNTY DUI.DING'OFFICIAL / BY .......... /~_ .....................~_~ <br /> <br /> OFFICE <br /> <br /> <br />