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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 /> The work will be performed by a registered builder. <br /> Other <br /> <br /> DA'rP,.~ 08/Od/DZ TIME.. <br /> <br /> ~ I I <br /> 8~S2 SANTIAM LOOP RD <br /> <br /> 8758 ~TAYTDN RD SE <br /> TORNE~ OREGON <br /> PHON~: 76~-7724 VALUATION: m <br /> <br />LOT: '8kO~Kr SEC~gN: TOWNO~P: , RA~: [ ZONe.0 ~ MA~ , <br /> <br />IY~; ON~5IIE S~WA~E <br />PERMIT OR APPLICATIOR NO: <br /> <br />CONTRACTOR, NO. <br />TOWERY.WILLIAM <br />8758 STAYTON RD SE <br />TURNER~ OREG0N 97~92 <br />PHONE: 76?-?724 <br /> <br />47726 <br /> <br />WA'fbR SOPCEY: PW <br />TEST FiOLES READY: <br />SITE EVALUATION NUHBER: <br />EXISTING TANK SIZE: 1000 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: &-1G-,DJ <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br /> REPAIR - MAJOR I $12,5.80 <br /> <br /> TOCfAL' ASSESSE~) FEES $125.00 <br /> PREVIOUS RECEIPTS $125. <br /> THIS RECEIPT $0.00 <br /> <br /> .,.BAEANCE, DUE $0.00 <br /> .P, AYEE: .^^ i~-.~. REOEIPT NO: <br /> <br /> ~ THIS I8 A VALID PERNIT ~ THIS ,PE~IT :EXPIRES'3~8 DAYS' FROM ITS ISSUE DATE. IF <br />CONSTRUCTION FAIL~ TO MEET ~LL REQUIREMENTS ~F STATE LAWS AND MARION COUNTY BUILQIN(; AND <br />ZONING ORBINANCES~ THIS PERMIT SHALL ,BECOME NULl_ ANg <br /> <br />REMARKS: RPR:MAJ. OKAY FOR STANDARD SYSTEM.. LEE PECK FULL TIME EMPLOYEE OF OWNER WILL <br /> INSTALL SYSTEM. PNONE~ 769-7724 OR 769-6519. <br />DONALD E,, WOODLEY~ MARION COUNTY BUILDING OFFICIAL / BY ...................................................... <br /> <br />FORM # MO 1~-~$ REV. 4/90 OF FIC E COPY <br /> <br /> <br />