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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 />The work will be performed by a registered builder. <br />Other_ <br /> <br /> --- KASEN~CSURT PH~SE-}.~ .......... <br /> <br /> SITE NUMBER: 94-02925 <br /> VALUAT~ON~ <br />TOWNSNIP~ ............~E ................ ~ONE~ <br /> <br />PERMIT OR APPLICATION <br /> <br />WATER SUPI'-"I_Y: CW <br />TEST HOLES READY:: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIF-LD _Il,lES'.' <br />SEPTIC, TANK PUMPED: <br />PREY:roLls biO, BEDI:~(]ONS: 3 <br /> <br />'fEN QUANT I TY AMOUNT <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS R E C,I~' I F'.TS <br />THIS RECEIPT <br /> <br />$0,00 <br /> <br />BALANCE DUE $0,. 00 <br /> <br />PAYEE: INVOICE NO:: <br /> 'l YPE: CHECK <br /> <br /> RECEIVED BY~ DN ...................................................................... 0 <br /> ,~;:.L;. ATTACHED DI.)CUM_r,IT FOd: REQUIREN}:NIS OF ON-SIrE SEWAGE sYs'rEN. <br /> <br /> ~ THIS ZSA VALID PERMIT ~ THIS PERMIT ~'XPIR~S M~B DA~$ FROM ITS Z~SUE DATE. IF <br />COI3TkUCTION FAII.S TO MEET ALL REQU.IREMENTS OF ~I'ATE LAW~ AND MARION COUNTY BUILDING <br />ZONING OkD.ENAh ,I:.S~ IH.[.~ P,,.RMIT SHALL BECOME NULL AND VOID, <br /> <br /> d NALK.. ,: IAN~AkD ~YuTEN <br />D(]NM..T) E. ~'IODi ::'Y~ MAF(]fOI't C].J ITY iBUII.]DING OFF'iCiAL / BY <br /> <br />OFF1CE COPY <br /> <br /> <br />