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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 />I am a registered builder OR ) the authorized representative <br />of a registered builder, <br /> <br />this document, <br /> <br />MURRAY, JOHN I I RESiDENTiAL <br /> <br /> 131S2 MURRAY LANE NE I CONTRACT O TY UGB: ]OCCUPANT LOAO: ~-~ <br /> <br /> AURORA OR 97002 ~ MARION COUNTY NO <br /> <br /> BEAV~RTON OREGO~ 97006 SITE ~E~: 94-00653 <br /> ~ONE: 524~i052 ; VALUA?iON: <br /> <br /> ~ · ~ ~ l~ 4 ......... A~ S ' <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR. APPLICATION NO.* 52893 <br /> <br />CONTRACTOR, NO. <br />MURRAY, JOHN <br />12490 SW LONGHORN LANE #A <br />BEAVERTON OREGON 97006 <br />PHONE: 524-1052 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SiTE EVALUATION NUMBER: 3~388 <br />EXiSTiNG TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVTOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUi'{T <br />STANDARD ON-SITE SYSTEM 1 $255.00 <br /> <br /> TOTAL ASSESSED FEES $~255. O0 <br /> PREVIOUS RECEIPTS $z, 55. O0 <br /> THIS RECEIPT g0.00 <br /> <br /> BALANCE DUE $0.00 <br /> <br />PAYEE: ~/~ RECEIPT NO: <br />RECEIVED BY: MB TYPE: CH~CE $: 0 <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />* THIS IS A VALID PE~IT * THIS PERMIT EX~IRES 360 DAYS FROM iTS ISSUE DATE. IF <br />CONSTRUCTION FAILS TO MEET ALL REQU~REMENT~ OF STATE LAWS AND MARION COUNTY BU_VLDZNG ~D <br />ZONING ORDINANCES~ THIS PERMIT~ SHAL~ BECOM~ NULL AND VOID. <br /> <br />REMARKS: SS: STD PERMIT <br /> <br />DONALD E. WOODLEV, MARION COUNTY BUILDING OFFICiAi/ BY <br /> <br />Fonu ~ uc ~-~ REV../~O OFFICE COPY <br /> <br /> <br />