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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 a registered builder, <br /> <br />Other_ <br /> <br />t have read and agree to the terms stated on the reverme side of <br />this document, <br /> <br />i,dw~igAl'E: 83:/02/94 TI, HE; 8:44:43: , TAX LOT ,r CAT~GORY: <br /> WAL,,I,,.Af~E.~ ROBERT & VALARIE ~ ~""" <br /> 73,:,88-2,_8 ~ RESIDENTIAL <br /> <br />~ AUMSV]ILE OR ~7~25 MARION COUNTY NO <br /> <br /> SAME <br /> PNONE: 7~9-~252 ,I ~ITEvALUATiON:NU~BE~: <br /> <br />CWIDTH: DEPTH: ~AREA: IONTS: j RR~e. LOT <br /> , - i ~ YES YES <br /> , e.61 , AC <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PER~IT OR APPLICATION NO= <br /> <br />COHTRACTOR~ NO. 34916 <br /> STAYTON SEPTIC <br />41155 STAYTON SCIO DR SE <br />STAYTON~ 77383 <br />PHONE: 769-2302 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES REABY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: 580 <br />EXISTING BRAIN EIELD LINES: <br />SEPTIC TANK PUMPED: 2/15/94 <br />PREVIOUS NO. BEDROOMS: 2 <br /> <br />200 <br /> <br />ITEM QUANTITY AMOUNT <br />REPAIR - MINOR 1 ¢85.00 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />TH~S RECEIPT <br /> <br />$85.. 00 <br />$85.08 <br /> $0,, 08 <br /> <br />BALANCE DUE ~0.00 <br /> <br />PAYEE: RECEIPT NS: <br /> <br /> RECEIVE~ BY: PB TYPE: CHECK ~: 0 <br /> <br /> SEE A'TTACHEQ DOCUMENT FOR REQUIREMENT8 OF ON-SITE SEWAGE SYSTEM, <br /> <br /> * THIS IS A VALID PERNIT* THIS PERHiT EXPIRES 3&8 DAYS FRON ITS ISSUE BATE. IF <br />CONSTRUCTION FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND <br />ZONING ORDINANCES~ THIS PERMIT SHALL BECOME NULL AND VOID. <br /> <br />REHAI~KS: HINOR REPAIR <br /> <br />OONALD E. WOODL.,c,Y~ MARION COUNT'( [~UII_DING OF'EICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />