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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />24 HOUR :CODE-A-PHONE: 5S8-7~34 ~ ~ <br /> <br />PFLUF~ MIKE & NANCY ~RESTDENTIAL <br /> <br /> S16~ MILL CREEK RD SE ~ ~N?RA~I' C~TY! ~ U~ J OCCUPANT LOAD: <br /> AUHSVILLE OR 97325 [MARION COUNTY~ N0 <br /> <br /> PHONE: 749-22G7 VALUATION: <br /> <br /> WATER SUPPLY: PW <br /> TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE. <br />EXISTING DRAIN FIELD LINES: <br />,~.SEPTIC TANK PUMPED: 5-94- <br />, PREVIOUS,NO, ~EDROOHS: 2 <br /> <br />TYPE: OH-SITE SE~GE <br /> <br />PERMIT O~ ~PPLZCAYZI3N <br /> <br />CONTRACTOR. NO. <br />PFLUG, MIKE & NANCY <br /> <br />PHONE: 749~2207 <br /> <br /> QUANTITy <br /> AUTHORIZATION NOTICE - Fbg;.',,¥'ISIT ,' '. ! $160.00 <br /> <br /> · ...."' TOTAL AsSEssE FEEs $ o.0o <br /> ..... : · '' .~RE~ISUS. RECEiPTS, $0,~0 <br /> <br /> PAYEE: PFLUQ~ MIKE & NANC~;'.':...,~.:i .... : ......... RECEIPT NO: ~8~68 <br /> <br /> SEE ATTACHED DOCUhENT FOR',,,BE~;~R~NTs.:'~F O~=S~TE' SEWAGE SYSTEM. <br /> <br />FOLLOWIN~ ~U$'F DE COMPL£TED,,'"'ITrIS THE' RESPONS~DI'L~TY"OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORNATIOB HAS.~EEN 'PROVIDED;:.' · ,, <br /> <br />PLAN REVIEW: ]Sy ......... '.:"DATEu:~.__.-_._- .... <br /> <br />CITY. JUR~SDICTIOH: ~Y DATE <br /> <br />OFFICE COPY <br /> <br /> <br />