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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />250 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 ~ registered builder OR the authorized rebresentative <br />of a registered builder. <br />The work win be performed by a registered builder. <br />Other <br /> <br />CONI..EY, M;[KF: ! 556360-808 J .¢!ESIDENT:[AL. <br /> <br /> '[~244 M~LL CREEK RI) SE <br /> AO~SVZI..LE: ..... OR 97~25' <br /> <br />3~, MONSON <br />~II,,.VF,:Rf'OH~ OR 97381 <br />FHONE~ <br /> <br />SITE NUN;BEE: <br />VALUATION: <br /> <br />TYPE: OH-SITE SEWAGE <br /> <br />PERHIT OR APPLICATION <br /> <br />CQNfRACTOR. NO. 57025 <br /> TS! EXCAVATION 11`i6 <br />~26;~2 S.[[.VERTON <br />SILVERTON~ ~7386 <br />PHONE: 87~-:~850 <br /> <br />5404? <br /> <br />WAFER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTtN6 TANK S~ZE: 1888 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: 4-6.--94 <br />PREVIOUS NO., <br /> <br /> ITEM f_IUANTITY AHOUbfT <br /> REPAIR - MAJOR 1 <br /> AUI'HORIZATIOH NOTICE - NO VISIT <br /> <br /> ' PR~V,IOUS 'RECEIPTS <br /> <br /> PAYEE. , . <br /> KbUI:.IVE~ BY: PM ,',, ' TY~E <br /> <br /> SEE ATTACHEB ~OCL MENT, FOR'/' REQUI~E,MENTS'f OF 'O q--~ITE ~EWAG :: SYSTEM. ' <br /> <br /> ~ THIS IS A VALI~ PERHIT,.~,.o.'Ifl~¢'P~ZT EXPI~S 36~ DAYS FROH ITS IOSUE DATE. IF <br />CONSTEO~'rlON Ir~[L~ TO HEE~/A~' REQU;I'REMEF~S",,OF $TATE EAWS AND MARl'Ob COL PTY <br />ZONtH6 ORDINANCES, TI-I;[S';~ERMI~ SHALL.~ ~ECO~E NULL A~I~' VOte. ' .... <br /> <br />REMARKS,-. CHG PERMIT l'O HA,~ REP:: <br />DONALD E., WOODLEY., MARION COUI,tTY:,BUILD!I~6 OFPICIAL / BY <br /> <br />FOR~ # MC ~-~e mEv. 4~o OF FICE COPY <br /> <br /> <br />