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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 8 registered builder. <br /> <br />IdWNER; DATE: 63/:[8/94 TIME: 14,"~5:42~ !TAXLCT: ?~fEGORY; <br /> <br /> AUM~V~L. LE OR ~7~25 , ' ' <br />USE OF ~ILOING'. , NO O~ 8EOAOOMS: <br /> <br /> SAME <br /> SITE HUHBER-- <br /> PHONE: 749-1&04 VALUATION: <br />iLOT: 1 ~t_OOK~ SECTION; ,TOWNSHIP, ' RANge: ~ 'Tbg~ 'r MAP; <br /> <br />2 J¢ ; <br /> <br /> TYPE: OH-SITE SEWAGE <br /> <br /> PERHiT OR APPLICATION NO: <br /> <br />CONTRACTOR~ <br /> ELLIS~ CARLO <br /> SAME: <br /> <br /> PHONE: 749-1604 <br /> <br />S2419 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: FRIDAY <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES~ <br />SEPTIC I'AMK PUMPED: <br />PREVIOUS NO. BEDROOMS: 2 <br /> <br />ITEM QUANTITY AMOUNT <br />REPAIR - MAJOR 1 $I25.00 <br /> <br /> $125.00 <br /> $125.88 <br /> $0.00 <br /> <br />PAYEE: <br />RECEIVED BY: OH2 <br /> <br />':: : :TOTAL ASSESSEI) FEES <br /> <br />RECEIPT NO: <br />TYPE: CHECK ¢: 0 <br /> <br />$0.00 <br /> <br /> $ THIS IS A VALID ~8:D:~YS:FROH ITS ISSUE DATE. IF <br />CONSTRUCTION FAILS TO A~L::'REBUIREM[HTS:'OF,'STATE,UA~S AiD MARION COUNTY BUILglNG AND <br />ZONING ORDINAIqCE$, THIS PERM:IT:SHALL 'BECOME': NULL : AND VOID.! <br /> <br />REMARKS: SUBSTA~ARD SANg FILTER/CAPPING FILL REPAIR -gee SITE P~ATE~6/94 <br />DONAI,,.g E. WOODLEY~ ~ARION COUNTY BUILDING OF'F'ICIAL / BY <br /> <br />FORM # M~ ~ #-Se REV, ~/90 OFFICE COPY <br /> <br /> <br />