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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P,M, - 8:00 A,M, <br /> <br />De, or_ <br /> <br />DATE: 06/17/88 TIME: 9;52:05a <br />OWNER: <br /> CHAPNESKE. N.J. & GERTRUDE <br /> <br /> 9884 SILVER FAbLS HWY <br /> AUMSVI LLE <br /> <br />USE OF BUILDING: <br /> <br /> TAX LOTi I CAi;~Go~Y: <br /> ' RESi DENTZAI_ <br /> ; CONS'lr~U~ION TYP~: : OCCUPANCY: <br /> <br />OR 97325 <br /> <br />MAILING ADDRESS: <br /> <br />SAME <br /> <br />PNONE: <br /> <br />TYPE: ON,-SITE SENAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR. NO. <br />CHAPWESKE, ~.J, & GERTRUDE <br />SAME <br /> <br />PHONE: <br /> <br />NO : NO <br /> <br />, VALUAT ION ~ '"-"~ <br /> 46 <br /> <br />WATER SUPPLY~ PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LIN~:3: <br />SEPTIC TANK PUMPED: 8-1~88 <br />PREVIOUS NO. BEDROOMS: <br /> <br /> IT~ <br />AUTHORIZATION NOTICE ~ FLD. VISIT <br /> <br />TOTAL ASSESSED FEES <br />PRE~2IOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMCUNT <br /> 1 $~o5_08 <br /> <br />$I05.00 <br />$!05,00 <br /> $0.00 <br /> <br />BALANCE DUE SC.00 <br /> <br />PAYEE: R~CEIP~ NO: <br /> <br />RECEIVED 8Y: J8 .................................. TYPE: CHECK ~: <br /> <br />S~E ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM- <br /> <br />* THIS IS A VALID PERMIT · THIS PERNIT EXPIRE~ 360 DAYS FR~N ITS IS,..%UE DATE. IF <br />CONSTRUCTION FAILS TO ~EET ALL REQUIRENENTS OF STATE LAWS AND hiARION C~3JNTY BUILDING AND <br />ZON[NG ORDINANCES, THIS PE~IT SHALL BEC~hlE NULL ANDVOID. <br /> <br />REMARKS: AUTH NO, RA6359 <br />E)ONALC) E. NOODLEY. MARION COUNTY BUILDING OFFICIAL / BY ......... ~2~~¢~_,..- <br /> <br />~o.~ ~ ~c ~.:,. ~EV ,s~.~' OFFICE COPY <br /> <br /> <br />