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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: 888-7904 <br /> <br /> :CONTRACT CITY; ~ UGB; ~dCU~ANT LOADJ <br /> <br /> '~ZTTER <br /> <br />PHONE: VAI_U~TION: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERHtT OR ~PPLICATION <br /> <br />CONTRACTOR. NO. <br />O'NEIL~ HA~RY <br /> <br />PHONE: <br /> <br />49816 <br /> <br />WATER SIJPPLY <br />TEST HOLES READY: NO <br />SITE EVALUATION NUNBER: <br />EXISTING TANK SIZE: <br />EXISTING BRAIN FIELD LINES: <br />SEPTIC TANK PUMPE~: <br />PREVIOUS NO. BEQBOONC: <br /> <br /> ITE~ QUANTITY AMOONT <br /> REPAIR - MA,JOR 1 $125.0~ <br /> <br /> TOTAL ASSESSED FEES $125.00 <br /> PREVIOUS RECEIPTS $12S~00 <br /> TNIS RECEIPT $0.00 <br /> <br /> BALANOE DUE $0.00 <br /> <br /> PAYEE: RECEIPT NO: <br /> RECEIVE~ BY: CL. TYPE: CHECK ~: 0 <br /> EF'g g GET GEG E FFG 'TE G: REMEN s ON-SITESE.A SYSTEM. <br /> <br /> ~ THIS IS A VALID PERHIT * THIS PERMIT EXPIRES ~60 DAYS FROM ITS iSSUE DATE. IF <br />COiieTRUCTION F~ILS TO NEET AEL REQUIREMENTS OF STATE LAWS AND MARION COONTY BUILDING AND <br />ZON:~NG ORI)INAN,ES, THIS PERMIT SHALL BECOME NULL AND VOID. <br /> <br />REMARKS. RFR,,MAJ. (]KAY FOR STAND.REPAIR. NEED STAKEOUT AND DETAILI~P/F.8/18. MET WITH <br /> CHARLiE HESS 8/30/9~. HE WILL STAKE,AND SUBMIT DETAILEI) P/FI~ <br />~ONAI...~) E. WOODLEY~ MARION COUNTY BIJ~LDING OFFICIAL. / BY ............. ~ ........................................... <br /> <br />OFFICE COPY <br /> <br /> <br />