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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9'/'301 <br /> <br /> PHONE: 588-5147 8;00 - 4,30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />Other <br />I h~o read and agree to the [¢rms staled on the roverse side of <br /> <br />CONSTRUCTION TYPE <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />RESI DEN f IAL <br /> <br /> 7913 MiLL CREEK R(IAO <br />AUN~VILLE OR <br /> <br />USE OF BUILDING <br /> <br />97325 <br /> <br /> CONTRACT CITY UGB <br />fCC,Rl ON 6X)UNTY NO <br /> <br />OCCUPANT LOAD <br /> <br />740 80~INF~ ROAD SE <br />SALEM 97306 <br />PHONE: 370-7556 <br /> <br />1 26 8S <br /> 5. AC <br /> <br />$10NE FIELD GLEN <br /> <br />SI'lB NUIVIBER: 11950 <br />VALUA'I- ION: <br /> <br /> 2W AR <br /> IRR~G LOT CORNER <br /> NO NO <br /> <br />PERNir OR APPLiCAtION NO: 29357 <br /> <br />CON FRAC f OR, NO. <br />PEiE~, GARREIT <br />740 BOON¢-~ ROAD SE <br />SALBf~I 97305 <br />PHONE: 370-7556 <br /> <br />WAFER SUPPLY: PW <br />TEST' HOLg~ READY; <br />SITE E~ALUArlON NUIVIBER: 6-76-77 <br />EXISflNG lANK SIZE: <br />P.J<ISTiNG ORAiN FIELD LIN~: <br />SEPTIC f'ANK PUMPED: <br />PREVIOU~ NO. BEOROOM~= <br /> <br />STANOAR0 ON-SITE SYSTEM <br /> <br />IOTAL AESB,~.SED FEP_.~ <br />PRE¥If. DUS RECEiPFS <br />THIS RECEIPT <br /> <br />QUANTIIY A~OUNT <br /> I $165.00 <br /> <br />$165.00 <br />165.00 <br /> $o.oo <br /> <br />BALANCE DtJE $0.00 <br /> <br />PAYBB: RECEIP1 NO: <br />RECEIVED 8¥: CL FYPE: CHECK ~: 0 <br /> <br /> SEE AttACHED OOCUMENr P~R REQUiRF_I~IENTS OF ON-sirE SE~8 SYS'FF~. <br /> <br />* THiS iS A VALID PE~iT * THI~ PE~iT ~PiR~ 360 ~ <br />~ST~CTI~ FAi~ TO MEET ALL R~IR~TS OF STATE ~ <br />Z~iNG ORDIN~C~, THIS PE~IT ~ALL 8~E NULL ~D <br /> <br />R.~4ARK8: SfANOARO SYS'FEM R~4776 <br /> <br />0ONALD E. WOODLEY, 1'4ARION COUNIy BUiLDiNG OFPtCIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />