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MARION COUNTY BUILDING INSPECTION' <br />SENATOR BLDG, NO. ';'25 <br />290 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, o <br />The work will be peflormed by a regbtered builder. <br />Other .......... <br /> <br />~hls document. <br /> <br />[c~WNE~: ............ ; 'FAJ( L~T: : CAT~GORY; <br />I DATE: 1,1/14/94 <br /> <br />i <br />i <br /> ....... 97,~ HAR~DN CSUNTY NO .o o~ ~o~oo~s: <br />mus~ o~ 8umcom~; ~SV'i'I <br /> <br /> W~f,.,DQ HII.,L,S FROIT FARMS ,li, 3 <br /> S~I, EH, 0R 97382 SITE ~Ufl~ER: 94-e1617 <br /> <br /> i ~4 m 8S 2w ', AR% 49 <br /> <br />6. AC NO NO <br /> <br />TYPE: OH-SITE SEWA6E <br /> <br />PER,Il' OR APPLICATION HO: <br /> <br />(.,OHfkAC[Ok~ N(). ~67E)6 <br />VALLEY SEPT [C <br />P 0 BOX 5241 <br />~ALF. M,¢ 973~4 <br />PHONE',: 588-1115 <br /> <br />58877 <br /> <br />WAII."':R SUPPLY: PW <br />'rEST I,,IOL, E9 READY: <br />SITE EVALUATTOI,I NUHI~ER: <br />EXISTIN(.i TANK SIZE: <br />EXtS~INtl DRAIN FIELD <br />SEPFIC TANK PUMPED: <br />PREVIOUS NO.. [~EDROOMSr, <br /> <br /> ITEH QOAli'FI I'Y AHOUNT <br />S)ANDARD ON,-SII'E !~YST.Flt 1 $255. <br /> <br /> FOTAL ASSESSED FEES .~;.~,~,, <br /> <br /> THIS RECglPT $8.0~) <br /> <br />PAYEk% <br />RILCI~;1 VE).) BY: <br /> <br />BALANCE DUE <br /> <br /> RECEIPT <br /> CL. ............................................................. TYPE: [', H E CI'~ :Ii,~ 0 <br /> <br /> SLE AqTACHED DOCUMFNI FOR REQUIIk,~iIENTS OF 8N.~S~TE SEWAGE SYSTEH. <br /> <br /> THIS IS A VALI9 PERMIT * THIS PER~IT EXPIRES ~6~ DAYS FROH ITS ISSUE DATE. IF <br />CONSTRUCTION FALLS TO MEtET ALL Ri~QUIREMENTS OF STATE LAWS AND HARION COUI,ITY DUILD]:NG AND <br />ZOh~TN5 SRblNANCES, THIS PERMIT SHALL B~COME NULL AND VOID, <br /> <br />h.. A ,K SFD <br /> <br />DCINAt.,)) E,, bK)ODi,_EY~ t4ARI(')N COUNTY BU =DJ qG OFF'ICIAL, / BY .................................................................... <br /> <br />~On~" uc ,~s,s~,.Ev..~ OFFICE COPY <br /> <br /> <br />