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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 />performing work on a property i owfl or'Occupy. <br /> <br />this document, <br /> <br />OWNER: ~¢1 <br /> <br /> STRAWM,~ FA'Y W. ' RES~:I)EN'I'lJ;AL <br /> <br />: 672~ 6722 PETER Rg SE ~-b'~8~'Ei~¢,. ~'O~'~J :OocuPAN~OAD; <br /> <br />SAME <br /> SITE HUHBER: <br />PHONE: 749-2838 VALUATION: <br /> <br /> 4"* <br /> <br />TYPE: OH-SITE SEWAGE <br /> <br />PERHIT DE APPLICflTIOH HO: <br /> <br />CONTRACTOR. NO. <br />STRAWN, FA~ W. <br />SAME <br /> <br />PNONE: 74~-28~8 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK ~IZE: 588 <br />EXISTING ~RAIN FIELD LINES: <br />SEPTIC TANK POMPED: 2/3/94 <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />AL~THORIZAI'ION NOTIO~ - FLD~ VISIT <br /> <br />QUANTITY AMOUNT <br /> I $i60.00 <br /> <br />TOTAL ASSESSEDFEES $16~.00 <br />PREVIOUSRECE~P:TS $t60.00 <br />'THIS RECEIPT ¢0.00 <br /> <br /> RECEIVED BY: MB ...... g]__..._:__], ............. TYPE: CMECK ~: 2544 <br /> oE'J:~ AT'FACHED DOCLIMENT FOR REQIJIREMENT~ OF' ON~S~;TE ~EWAGE SYSTEM. <br /> ~ THiS ~¢ A VALID PERHIT ~ THIS PERH{'r EXPIRES 368 ~AYS FROH ITS ISSUE ~ATE. ~F <br />OOH~TRUCI'ION F~ll_s I'O: MEET ALL EEQUIREMEblTS OF STATE LAWS:AN~ MARION COUNTY BUZLDIN[; AND <br />ZONING OR~INANCES.~ THI~ PERMIT SHALL BECOME NULL AND VOI~;. <br /> <br />,~::MA,.~K.: SMALl._ 500 GAL SEPTIC ~ANK RECOMMEND PI..iMF~ING EVERY 2 YEARS <br />DONALD E,, WOODL. EY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />¢o.~ ~ ~c ~ ~.~ Re/, .~o OFFICE COPY <br /> <br /> <br />