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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PRONE:: 588-5147 8;00 - 4:30 <br /> 24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />°w~ I'E: 01/30/91 <br />SlrOS ADD~Es~E~, ELGA <br /> <br /> NE <br />9700 <br /> <br /> CONTRACT CITY <br /> <br />fY!AR l ON COUNTY <br /> <br />UGB <br /> <br /> NO <br /> <br />OCCUPANCY RESi DEN~ IAL <br /> <br />OOCUPANT LOAD <br /> <br /> NO OF B£DR00MS <br /> <br />SAI'4E <br /> <br />PHONE*. 6'/8~5687 <br /> <br />SIIE NU~IBER.+ 12015 <br />RAN~LUA[iON .* ZONE MAP <br /> <br />UNITS <br /> <br />9 <br /> <br />TYPE: 0N-Si~E SEWAGE <br /> <br />PER~4i] OR APPLiCAf~ON <br /> <br />0¥.)NTRACfOR, NO. <br />LE~, ELGA <br /> <br />PHONE: 6?8-5587 <br /> <br />2955~ <br /> <br />WA'1ER ~UPPLY: <br />TE~¥ HOLES RBAOY= <br />SiTE EVALUAtiON NUMBER: <br />EXIS'f'IN6 ~K SIZE: <br />E~IS~ING D~IN FIELD LIN~: <br />sEP'rlc 'r~K ~MPED: NILL HAVE <br />PREV[~S NO. BED~: <br /> <br /> il~ QUANII1Y AI'4OUN1 <br /> AUfHORiZAriON NO'lICE - FLO. VISIT I $105.00 <br /> <br /> IOI'AL A~.S~ED FEES $105.00 <br /> PRE¥IGtJS RECEiPf~ <br /> THiS RECEIP1 $0.00 <br /> <br /> BALANCE 0ME <br /> <br /> PAYEE: RECEIP~ NO: <br /> RgCbIVgD BY: Df42 ..................................................... TYPE: O~ECK ~: 0 <br /> <br /> ~EE AFfACHED DOCUR~%IT FOR RE~R~I'~ OF ~-StrE S~GE SYSf~. <br /> <br />~ THI~ I~ A VALID PE~IT ~ THIS PE~iT ~PIR~ ~68 ~Y8 F~ I?S J~E 0ATE. iF <br />~ST~CTi~ FAi~ TO MEET ALL R~iR~TS OF STATE <br />Z~iN60RDiN~O~, THIS PE~iT ~ALL BEdE NULL ~O <br /> <br />REMARKS: SEPtic AUrH - FIELD ViSiT R~3456 MOBILE PLACED 1985 <br /> <br />[.~ONALD E. ~¢)'ODLEY, MARION C()UNIY BUILDING ].~.'FICIAL / BY <br /> <br />FORM/~ MC ~5-56 REV 4/90 OFFICE COPY <br /> <br /> <br />