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MARION COUNTY BUlL, DING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147' S:O0 - 4:30 <br /> 24 HOURiCODI=-A-PHON[: 588-7904 <br />t am pertorming work on a property I own or occupy. <br /> <br />Ct a registered builder, <br /> <br />OWNER~ DATE: 04`/06/94 <br /> pEARC~'.~ CHARI,,E., <br /> <br />T,.FIL,, 14~ 1;_~: 44. <br /> <br />TAX LOT CATEGORY; <br /> RESIDENT lAt.. <br /> <br /> 8856 JEANNE Cf <br /> AUMSV1L L.E <br />USE OF BUILDING: <br /> <br />~A~LING ADDRESS: <br /> <br /> SAME <br /> PHONb:: 363-6954 <br />L~T'. BLOCK'· SECTION <br /> <br />WIDTH: DEPTH. AREA: <br /> <br /> S~ CONTRACT CITY UGB ,OCCUPANT LOAD. <br />97325 MARION COIJNTY bio ~ <br /> <br /> ............ NO O~£OROONS <br /> <br />6().~¢~ADE PARK ,1I:2 ....... <br /> <br />SITE HUMBER: <br />YALUA'I'IOIq: <br /> <br /> B,S '.-'~W ' "" <br /> , AR,3 49 <br /> <br />~,, 9 AC NO NO <br /> <br />TYPE: ON-SiTE SEWAGE <br /> <br />PERMIT 0~ APPLICATION <br /> <br />O01'tTRACTOR,~ <br />P~::AR CE,~ CHARLI'_-$ <br />SAME <br /> <br />PHONE: <br /> <br />WATER SUPPLY <br />'FE~T HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOM9:5 <br /> <br /> ,.I, TEM QUANTITY AMOUNT <br /> ALITI,OF;;[ZAT3:ON NOTICE - FLD~ VI',;IT 1 $16['),, <br /> <br /> TOTAL ASSESSED FEES $1.60,,00 <br /> PREVIOUS RECEIPTS $'J. 60,, <br /> THIS RECEIPT ~0.88 <br /> <br /> BALANCE :DUE $0,, <br /> <br /> PAYEE: RECEIPT NO: <br /> RECEIVED BY: PB TYPE: CHECK 41:: 0 <br /> .............................. :=_-=z_-zcc:==---_-_-z ...................................................................... <br /> SEE' ATTACHES DOCUMENT FOR REI~U;:REMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br /> * THIS IS A VALId) PERMIT * THiS PERMIT EXPII~ES:360 BAYS FROM ITS ISSUE BATE. IF <br />{;ON.~'I'RUCT.,ION PAII.~S TO MEET ALL ~EQUIR:MENI'$ OF' STATE LAWS AND MARION COUNTY BU;U.,.I)ZN[; <br />70NIN§ ORI)INANCES.~ TI-I);S PERMIT SHAI._L BECOME NULL AND VOID. <br /> <br />,~cMARM~ AUT'H <br />D[~NAI..I) E., WOI}BLKY~ HARJ:ON COUN'f!Y },ll.l...DIh¢ OFF'):C:~;AL / <br /> <br /> OFFICE COPY <br />FORM # MC: 16-56 REV. 4/90 <br /> <br /> <br />