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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 />of a registered builder, <br /> <br />Otl~er <br /> <br />;bwhbRi DATE: 01/19/9;5 IIME.: ..16:.2;5.:-58 ...... ~ T~x LOT; .......... <br /> W~LTER3, JO AND RAY ~ 591000 J RESIDENTIAL <br /> <br /> 10931 HARTIN LANE NE FB¥~'di~¥ ~66~U~ANT LOAD'. <br /> AURORA OR 97002 ~ HARZON COUNTYi NO <br /> <br />;LOT'. <br /> <br />8416 LAYFAETTE WAY <br />WILSONVILLE,, OREGON 97070 SITE NUMBER: 9~-00229 <br />PHONE: 694-5468 <br /> <br /> BLOCK i SECT ON TOWNBH P RANGE i ZONE MAP <br /> <br />180 , ;56;5! 65;540. 'l SF I HO ! NO <br /> <br />TYPE: DH-SITE <br /> <br />PERHiT OR APPLICATION HO: <br /> <br />CONTRACTOR, <br />WALTERS, JO AND RAY <br />84i6 LAYFAETTE WAY <br />WILSONVILLE, OREGON 97070 <br />PHONE~ 694-5468 <br /> <br />44230 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: 44007 <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO_ BEDROOMS: <br /> <br /> ITEN <br /> QUANTITY AMOUNT <br /> STANDARD ON-SITE SYSTEM 1 $210.00 <br /> <br /> TOTAL ASSESSED FEES $210.00 <br /> PREVIOUS RECEIPTS $210.00 <br /> THIS RECEIPT $0.00 <br /> <br /> BALANCE DUE $0.00 <br /> PAYEE: RECEIPT NO: <br /> RECEIVED BY: DH TYPE: CHECK ~: 0 <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS'OF ON-SITE SEWAGE SYSTEM. <br /> <br />* THIS IS A VALID PERMIT · THIS PERMIT,EXPIRES'360'DAYS FROM ITS ISSUE DATE IF <br />CONSTRUCTION FAILS TO MEET ALL.REQUIREMENTS:OF STATE'LAWS AND MARION COUNTY BOILOING AND <br />ZONING OROINANCES, THIS PERHIT' SHALL BECOME NULL ANO VOIO. <br /> <br />REMARKS: STD SYSTEM <br /> <br />DONALD E. WOOOLEY, HARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />