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MARION COUNTY BUILDING iNSPECTION <br />SENATOR BLDG. NO. 22.5 <br />220 HIG. H STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHORE 4:30 P,M. - 8:00 A.M. <br /> <br />GRIM, WARREN & JEAN <br /> <br />3:51:400 <br /> <br /> 20886 HUBBARD CUT OFF RD <br />AURORA OR 9?002 <br /> <br />NE <br /> <br /> TA×' LO~: ............................... ¢ CATEGORY: <br /> ...................... , .... I r';E,.~I DEl I ~ '~A_ <br /> CONSTRUCTION TYPE i OCCUPANCY <br /> <br />CONTRACT CITY U~i .............................. [-~CUPANT LOAD. <br />MAR I.OL,[. C'QUL~_T~ NQ ............. <br /> <br />18598 HIGHWAY 99E NE <br />HUBBARD OR 97032 <br />PHONE: 982-3433 <br /> <br />'LOT: BLOCK; <br /> <br />SECT ON TOWNSHIP <br /> <br /> 1.& AS. <br /> <br /> 4. 28000 AC <br /> <br />SITE NUFBER: 5185 <br />VALUATION: <br /> <br /> ................. ~ ......... ~ .......... E, PU.- ' 3 <br /> ~RREG, LOT I CORNER; <br /> NO I NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 10410 <br /> <br />CONTRACTOR, NO_ <br />GRIM, WARREN & JEAN <br />18598 HIGHWAY 99E NE <br />HUBBARD OR 9?032 <br />PHONE~ 982-3433 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: 4-?7-? <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. 8EDROONS: <br /> <br /> iTEM QUANTITY AMOUNT <br />STANDARD ON-SITE SYSTEM 1 $165.00 <br /> <br />PAYEE: <br /> <br />TOTALASSESS'ED':.FEES $165.00 <br />PREVIOUSRECEiPTS $165.00 <br />THIS RECEI:PT: $0.00 <br />S.ALA~CE DUE $0.08 <br /> <br />REC, EI PT NO: <br /> <br />RECEIVED BY: PB TYPE; CHECK ~: <br /> <br />SEE ATTACHED 0OCUMENT FOR REQUIREMENTS OF ON.-GZTE SEWAGE SYSTEM. <br />~ THIS IS A VALID PEEt4IT * THIS PEE~4IT EXPIRES 380 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION FAILS TO NEE'TALL RE(~JIRENENTS OF STATE LAWS AND MARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PER,tIT SHA~L BECOf4E NULL AND VOID. <br /> <br />REMARKS: NEW SEPTIC R~4408 <br /> <br />DONALD E_ NOODLEY, MARION COUNTY BUILDING OFF;CZ.AL / BY <br /> <br />;O~M Mc~5.s8 ~v e/87 OFFICE COPY <br /> <br /> <br />