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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLDG, NO. 225 <br />2:~0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5i 47 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />The work will be pedormed 0y a registered Sullder, <br />Other <br /> <br />r 6~VN~R: ~ATE] 04/12/94 <br /> FF-:RY,, <br /> <br />T[hl . ~-. 0,: .40 <br /> <br />TAX LOT; <br /> <br /> 75440,.,.~20 <br />Z. ONSTRUCTIO N TYP~ <br /> <br />CATEGORY; <br /> <br />RESIDENTIAL <br />OCCUPANCY <br /> <br /> t:1,46,5 MSCI,,~;SLLAN LN SE CON'CRAC'rCI'~Y: uG8 <br /> AI.IN.c,~VII..L.E OR 97325 MARION COUNTY NO <br />USE OF BUILDING'. <br /> <br />MAILING AD bi, ESS: SUSDIVISION <br /> <br />OCCUPANT LOAD' <br /> <br /> :1,1466 MCCLEL, I,,AN LN .gE <br /> AOSV:[LU~. ORE~[]N 97:]25 <br /> F>HONI},: 769-2484 <br /> <br />: . ~ ,,, .-,, <br />:. ........... ~,..-t[ ......................... !.!.~_ .......... _~ A.,,_~)_ff. ....... ~E ....................... ~.o .........Nfl <br /> <br />SITE <br />VALUATION: <br /> <br />MAP <br /> <br /> TYPE: ON-SITE SEWAGE WATER SUPPLY: PW <br /> T[:_'BT HOLES READY: NO <br /> PEI~NIT OR APPLICATION ilO: 5~5~6 SITE EVALUATION NUMBER: <br /> EXISTING TANK SIZE: <br /> COIITkACfOk~ NO~, ~f~785 EXISTING DRAIN F:I:EL~ LINES: <br /> VALLEY SEPT]'C SEP')'~C TANK PIJHI;~ED: <br /> P 0 BOX 52~1 PEEV~OUS ~0. 9EDROOMS: <br /> ?L,,EH,; 973~4 <br /> FHON~ 588-1115 ~ <br /> <br /> REPA'[R - H~JOR ~ $125. <br /> <br /> TOTAL ASgEg~ED FEE8 <br /> PREVIOUS R~CEIF'TS $125. <br /> THIS RECEIPT <br /> <br /> BALANCE DWE $~. <br /> <br /> PAYEE; RECEIPT NO: <br /> KELE[VED BY: F'~ ...................................................... TYPE: CHECK :~: <br /> <br /> ~3EE ATT5CNJZD ~OCUH~NT FOR REQUIREMENTS OF ON-SITg SEWAGE SYSTEH. <br /> <br /> *.THI~ ~ A VA[_I~ PERHI~ · THi~ PER~IT EXPIRE~ ~B 9AY~ FRQH IT~ I~SU~ ~AT~. <br />CONbTRUCTIOH FALLS TO MEET ALL REQUIRgNENTS OF STATE LAWS AND MARION COUNTY BUILD%NG ANB <br />ZONING ORQIFIANCES~ TH,iS P~RHIT ~I'{ALL BECOHE NULL AN~ ~0~9. <br /> <br /> R~,I~ARI~,3. SR., H,IR REVAl.( SUJStANDARD SI:.EF'A£fE TRk. NCH REFAZR,, /~ <br /> DOI,!AI.D ~-:,. WSODL,'~:Y, i~AR:[SN COUF!TY BW):L))[Nt.; OFFICIAL / [!~Y ...................... /¢~_.._. ......................................... <br /> <br />~o~u ~ ~c ~s.so ~v. ~o OFFICE COPY <br /> <br /> <br />