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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STRE¢? 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 8 property I own or occupy. <br />lemaregistered builder OR( ) the authorized representative <br />of a registered builder, <br />The work will be gerformed by a registered buiider. <br />Other <br />I have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br /> DATE: 03/07/?4 "TINE: 14::15:27 <br />................................ i TAX L, Otl .......... I ~;¥¢~C,R¥: ' <br /> OVERFIEtJ)~ HARK ~ 71010-8§0 i RESIDENTIAL <br /> <br /> IS648 WISTERIA BR NE <br />AURORA OR 97002 <br /> <br />MARION ~'OUNT~ Hb ~OAO ~; <br /> <br /> ! }DEER OREEK ESTATES <br />PO BOX 2;9 i <br />HUBBARD OREGON 978~2 OITE NUHBER: 74-88881 <br />PHONE: 981-7187 VALUATION: <br /> <br />TYPEg ON-SITE SEWAGE <br /> <br />PERHIT OR APPLICATIOH <br /> <br />CONTRACTOR~ NO. <br />OVERFIELD~ MARK <br />PO BOX 239 <br />HUBBARD OREGON 97032 <br />PHONE: ~81-7~87 <br /> <br />WATER SUPPLY: CW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EX~STIN6 TANK SIZE: 1800 <br />EXISTING 9RAIN FIELD LINES: <br />SEPTIC TANK PUMPED: 2/8/94 <br />PREVIOUS NO. BE9ROONS: 3 <br /> <br />276 <br /> <br /> ITEM QUANTITY AMOUNT <br /> AUTHORIZATION NOTICE - FLB. VISIT 1 $160.~0 <br /> <br /> TOTAL ASSESSEB FEES $I60.08 <br /> P~E~IOUS RECEIPTS $16~.08 <br /> THIS:RECEIRT,, $0.00 <br /> <br /> BALANCE BUR $0.00 <br /> <br /> PAYEE: RECEIPT NO: <br /> RECEIYEB BY: PB ................................... TYPE: CHECK ~: 0 <br /> <br /> SEE ATTACHEB QOCUMENT FQ~ REQUIREMENT.~ OF QN-~ITE SEWAGE SYSTEM. <br /> <br />CONSTRUCTION FALLS TO NEET ALL REQUIREHENTS OF STATE LAWS AND MARION COUNTY BUILQIhI6 AND <br />ZOMING ORBINANCES~ TNIS PE~NIT SNALL BECOME NULL AN9 ¥0I~, <br /> <br />CEMARKS: AU'tH <br /> <br />DONALD E. WOODI_EY, <br /> <br />MARION COUNTY ~,U.H.I)INf.; OFFICIAL <br /> <br />~onu ~ MC t~-~ R~v. 4~ OFFICE COPY <br /> <br /> <br />