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MARION COUNTY BUILDING iNSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OrEGON, BT$01 ' <br /> <br /> PHONE: 588-5147 8:00 ~ 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> DATE: 08/20/92 TIHE: %~:52:04 <br />OWNER; COX~QUINTON, PH[f,,IP '&' DEBRA <br /> <br /> ~65 CL~FFOR~ AVE <br />O~TROZT <br /> <br />OR <br /> <br /> ~WS~RUCTI6N "['Y~E: ': OCGOP^NCYr <br /> <br />97342 <br /> .O,E~'.ROIT ' 0~ ...... :~CUPANT LOAD: <br /> <br /> ............................................. ~'~, oF ~oo~ <br /> <br />3746 SW COMUS <br />PORTLAND, OR 972~9 <br />PHONE; 245,-6438 <br /> <br />' sb§mv,~TTON ~I ............. <br /> <br />.............. SIT_E, .Ntl. flBER.; .... ,,92,_~qO.45g .. <br /> VALUATION: <br /> <br />~0'r 6 <br /> <br />W~OTN; <br /> <br /> 75 DE PT~{: <br /> <br />PERNIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />COX-QUINTON, ~HI[_IP & DEBRA <br /> co us <br />PORTLAND, ~R 972~9 <br />PHONE. <br /> <br />' SEt'ON: ........ ~¢} ........ ~ ~1~: ............ i'"~O~'S ......... <br /> ~.o~25 ,.~.U~:Sg .............. ." ~'h~'~'Lo,~ ico~:" <br /> .... "': ....... '"'~ -"-~,~'T~ R"~L?P~':'--.¢~, ? ~:,~ .......... -, <br /> TEST HOLES READY: YES <br /> ~042049 S]TE EVALUATION NUNBER: <br /> EXISTING TANK SIZE: <br /> EXISTING ORAIN FIELD LINES: <br /> SEPTIC TA~K PDHPEO: <br /> PREVIOUS NO. 8EOROOHB~ <br /> <br /> ITEM QUANTITY AMOUR';' <br />SITE EVALUATION, FIRST LOT <br /> <br /> TOTAL ASSE$$EO CEEB $2~0.00 <br /> P~EVIOIJS RECEIPTS $0.03 <br /> THIS RECEIPT $220.o0 <br /> BALANCE DUE $0.00 <br /> <br />PAYEE; OOK~QUINTON, PH~LI~ & OEBRA · · ~NVOiOE NO: 44092 <br />RECEIVED BY= CL_~. .... _____2__..~'__ .... · _.__.' TY~E: IN CHECK ¢: 0 <br />SEE ATIACHEO DOCUMENT FO~ REQUIREMENTS OF ON-BtT~'SEWABE S¥$TEH. <br /> <br />NOTE: THIS OOES NOT GRANT OR IHP[Y PERMISSION TO BUILD ON TltlS PARCEL. PLANNING AN() <br />ONSTRUCTION PERMITS MuST BE OBTAINED BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS, <br /> <br />PLAN <br /> REVIEW: <br /> JURISDICTION; .................. <br /> <br />OFFIOECOPY <br /> <br /> <br />