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MARION COUNTY BUILDING INSPECTION <br />SENATOR fSLDG, NO. 225 <br />220 HIGH STREE, T NE <br /> SALEM, OREGON 9730'1 <br /> <br /> PHONE: 588-5147 8:00 - 4;30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> o m registered bu dee <br /> The work will be perforr~ed by a tegls erecl builChar. <br /> I have read an~ agree Io the terms ~tated o~ 'the reveme ¢id~ of ,, ................. <br /> <br /> DATE: 12/~9/94 TIHE: 15:e6~;47 <br />................................................. ........................ <br /> -"i+] -~'XSSh~ '~ ...................................................... "" i~N~O'8~ 5E'~--- i OCCUPANCY: <br /> <br /> 2~5 LAKECEE~T ~R 0~ 97342 D~ ' ?u ' ~ <br /> <br />3475 BIE~LER LN <br />SALEM~ OR 97302 <br />PNONE: 364-~46a <br /> <br />PATTON ADDITION <br /> 9ALUATION~ <br /> <br /> ]4 <br /> <br />TYPE~ ON-SITE <br /> <br />PER~IT ~ APPLICATIOH <br /> <br />~ONTRACTOR. HO~ ~6421 <br />KEVIN~S <br />PO BOX <br /> <br />PHONE: 854-~797 <br /> <br />~TOWNSNIP;'~-~- ~ RANGE." ...... ~ .......... ~"i ZONE. ................... <br /> <br /> WATER SUPPLY: CW <br /> TEST MOLES REABY: YES <br /> SITE EYALUATION NUMBER: <br /> EXISTING TANK S~ZE~ <br /> EXISTIN~ ~RAIN FIELD LINE~ <br /> SEPTIC TANK PUMPED: <br /> PRE~IOUS NO. ,BEbROOMS: <br /> <br /> ITEH , ; QUANTITY AHOUNT <br /> SITE EVALUATION~ FIRST LOT.. 1 $265.00 <br /> 'TO~AL.'.ASSESSE~ FEES $265. B0 <br /> ,.' . .PRE~IOUS RECEIPTS, $26~.00 <br /> · TH~S':'RECEIPT $0.06 <br /> <br /> ,' ..... '" ,9~EANCE.'.DUE $o.ee <br /> <br /> PAYEE= :!"'"::'"~"::':":'~'"~,",',',,~'. '.''-.' · · INVOICE NO= 0 <br /> RECEIVED ~Y= ~L__ .......... ~_~;___~_~' ' ' "' ·, ........, ____ '""" ..TYPE= CHECK ~: 0 <br /> SEE ATTACHED DOCUMENT FOR'RE~UIRENE~T~ OF-.ON~SlTE SEWAgE'SYSTEM. <br /> .......................... ~-~7~-?~ , ! ~7-~ .... ; , , T~- .-' ............................... <br /> <br />NOT[: THIS DOE§ N~T G~ANT, ~ IHP,L·Y ~ER'H~SION,i~O BUILD ON THIS PARCEL. PLANNING AND <br />ONSTRUCTION PERhITS MUST BE'O~TAINED'~EFORE'B~ILDI,N~"UR'SEPTIO INSTALLATION <br /> <br />,~EHARKS,, ~E, J. GROSS & KEVIN HILLS. HARGINAL SPACE FOR A TWO BR EOU <br /> REOUIREDY~$8/F HIGHT· BE NEOESSBRY. FOR FUTURE.' · <br />DONAL~ E. WODDLEY~ MARION COUWTY'=BUILDI~ OFFICIAL / BY .................... <br /> <br />OFFICE COPY <br /> <br /> <br />