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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 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I am performing work on a property I own or occupy, <br /> I am a registered builder OR ( ) the authorized representative SIGNATURE OF APPL CANT: <br /> of a registered Ouilder. <br /> The work will be perCormed by a registered builder. <br /> Other <br /> <br /> this document. <br /> DATE; 0¢/08/92 TIHE: 14:0;~:43 <br />~ ZELLER, VICTORIA [ RESIDENTIAL <br /> <br /> flUHSVZLLE OR 97825 ~T~ C~TCUNTY <br /> <br /> P.O. BOX 1037 <br /> PHONE: 749-3713 ~ VALUOTION: <br /> <br /> 25 88 . 2W ~ AR 51 <br /> .......... ~g~+~; ............ <br />JWtOTH; 150 ~ 201 i 30150. ! SF NO i NO <br /> <br />TYPE: ON-S[fE 8ENAGE <br /> <br />PERHIT OR RPPL[CAT[ON NO: <br /> <br />CONTRACTOR, NO. <br />ZELLER, VICTORIA <br />P.O. 80X 1057 <br />AUMSVILLE. OR 97325 <br />PHONE: 749-371~ <br /> <br />32849 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUHSER; <br />EXISTING TANK SIZE: 1000 <br />EXISTING ORAIN FIELD LINES: <br />SEPTIC TANK PUMPED= <br />PREVIOUS NO; BEDROOHS: <br /> <br /> ITEH , , QUANTITY AHOUNT <br /> REPAIR - HAJOR 1 $105.OO <br /> TOTAL A~$ESSEOFEES $105.00 <br /> PREVIOUS RECEIPTS $80.00 <br /> T]H~ RECEIPT $25~00 <br /> <br /> PAYEE= ZELLER. VICTORI9' RECEIPT NO= 44487 <br /> RECEIVED BY: OL ....... :; ~.~ ~ ~ TYPE: CK CHECK ~: 0 <br /> SEE ATTACHED DOCUHENT ?O:R:;':i;EE:Qu:~!REHEE~:S OF .ON~$[T:E SE~AG'E i'SYSTEH. <br /> <br />CONSTRUCTION FA~LS TO HEET ALL REQUIREHENTS OF:S.T~E: LANS AND MARION COUNTY BUILDING ANO <br />ZONING ORDINANCES, THIS PERNIT SHALL BECONE;NULL ~NO VD!D. <br /> <br /> RE,ARKS'~:--D~RX}~IILED REPAIR R~$OS S~"O FI~TER- R~P~IR SYS~cli~M0 <br /> OONALO E. WOOOLEY, HAR[ON couNTY 8u~Eo[N6 OFFICIAL / 8Y ...... ~. ............... <br /> <br /> <br />