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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BI~DG. N(~ 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE §88-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8;00 A.M. ...~.-/ /-? ~ <br /> <br />I have read and agree ,o tho ,ecrus stated on the reverse aide of DATE: ~_2~_*~'~j' ?~"-' //"" -~-...(-27 <br /> <br />o~E.+ 03,/19/90 <br /> <br /> CHRISTENSEN, HAROLD <br /> <br />SALEM OR <br />USE OF BUILDING: <br /> <br />TIME: 10:55:11 <br /> <br />97301 <br /> <br />SE <br /> <br /> 75301-020 RESIDENTIAL'' <br /> <br />CONTRAC~ CITY; Ut&B: OCCUPANT LOAD <br />MARION COUNTY NO <br /> <br />805 ROYALTY DR NE <br />EC~LEN, OR 97301 <br />PHONE= 399-9627 <br /> <br />LOT: BLOCK: SECTIONI TOWNSHIp: <br /> <br />SITE NUIW~ER: 9620 <br />VALUATION: <br />RANGE: ZONE~ <br /> <br />MAP: <br /> <br />WIDTH: DEPTH: <br /> <br /> 14 <br />?999983 <br /> <br />2N CO~N~n: AR3 49 <br />NO YES <br /> <br />TYPE: ON-SITE SEHAGE <br /> <br />PEEt, lIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 39178 <br />TERRA FII:~IA <br />PO SOX 516 <br />SALEM OR 97304 <br />PHONE: 393-9224 <br /> <br /> ITE.~ <br />SE < 6 MONTHS OLD <br /> <br /> PAYEE: ONRISTENSEN, HAROLD ~ <br /> RECEIVED BY: PR ....................... 2~ ...... <br /> SEE ATTACHED DOCUNENT FOR <br /> <br />*THIS IS NOT A PE~IT+ <br />FOLi..O~IN6 I~I. IST 8ECONPLETED. <br />~M_[.NECE~=,ARY INFOI~IATION <br /> <br />9022546 <br /> <br /> WATER SUPPLY: PH <br /> TEST HOLES RF_A~: <br /> SITE EVALUATION NUMBER: 9022408 <br /> EXISTZNG TANK SIZE: <br />= EXISTIN~ DRA~N FIELD L[NES~ <br />SEPTIC TANK PUMPED: <br /> PREVIOUS NO. 8EDROONS: <br /> <br /> PROCESS NHERE THE <br />APPLICANT TO A,..%_qURE THAT <br /> <br />DATE <br /> <br />FORM # MC '5-56 REV ~/68 OFF[C~ COPY <br /> <br /> <br />