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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO- 225 <br />220 HIGH STREET NE <br /> SALEM, ?REG(D~N, ~ 97301 <br /> <br /> PHONE $88-5147 <br /> CODE-A-PHONE 4:30 P.M, - 8:00 A.M, <br /> <br />arq perforrFun9 work on a property I own or occupy., <br />ar~aregisteredbuilderOR{ )theauthorizedrepr~sentative <br />of a rogistered buildor, <br /> <br />DA-r'E: 05/'20/88 TIME: <br /> vll,j.::) I C, PATRtCIA <br /> <br />2;35:400 <br /> <br /> 5'/21 VIL.LAGE: VIE~ CT SE <br />AUMSVILLE OR 97325 <br /> <br />.,SAM~ <br /> <br />':-'HON ~: 58]-8379 <br /> <br /> 2 <br /> <br /> 190 <br /> <br />VILLAGE VIEW <br /> <br /> SZTE NUMBER: 43?4 <br /> VAL. UATZON:: <br />¢EO~ION: i ~O~SNiP; RANGE; ZONEi <br /> <br /> 13 ! ~S 2~ ~ AR3 <br /> ?3?28_0 BF NO i NO <br /> <br />TYPE; ON-S~T'E SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTFLACTOR, NO_ <br />~USiC, PATRICIA <br />SA~E <br /> <br />PHONE: 581~8379 <br /> <br />8374 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NLI~DER: <br />EXISTING TANK SIZE: <br />ELXIST~NG DRAIN F~ELD LINES: <br />S~PT~C TANK PUMPED: '11~24-8~ <br />PREVIOUS NO. 8EDROQ~S: 3 <br /> <br /> Z TEH QUANT ~' TY AMOUNT <br />AUTHORIZATION NOT]',CE - FLD. V[SET 'i $105, <br /> TOTAL ASSE~ED FEES <br /> PR~I~S ~ECEI PTS $105.00 <br /> THIS RECE~, T $0.00 <br /> <br /> 8A~NCE DUE ~'- <br /> <br />PAYEE: RECE; PT NO: <br />RECEIVED BY: pb .............. ~_~ .......... TYPE: CH~C;k ~: <br /> <br />SEE ATTACHED DOCUHENT FOR REQUZREHBNZS OF ON:SZTE SEWAGE <br /> <br />* ~[S [SA VALID PE~ZT * ~[S PE~ZT ~PZR~ 360 ~ F~ ITS ~E BATE. <br />C~CTZ~ FA]~ TO ~E~ ALL RE~[R~TS OF STA~ ~ ~B ~RZ~ ~N~ BUILDING <br />Z~[NG ORD]N~C~. THIS PE~]T ~ALL BEdE NULL ~D <br /> <br />REI'4,ARKS: ALJTH R~9997 <br /> <br />;XDNAL. O E. ;~,¢3ODLEY, HARION COUNTY BUILDING OFFICIAL <br /> <br /> <br />