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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 />HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other <br /> <br /> TIME._i~ i7 <br /> DATE: 10/0~/92 . -20" <br /> <br /> WALLACE, <br />SITUS ADORESSi : 'C~STRUCTION <br /> <br /> RESIDENTIAL <br />iOCCUPANCY; <br /> <br /> PORTER RD SE ......... CONTRACT CITY: : IJ~l~ ,i~COP^NT LOAD: <br />AUMSVILLE OR 97325 MARION COUNTY NO <br /> <br />SAME <br /> <br />PH0NE: 749-2643 <br /> <br />SITE EUHBER: 92-0~4i0 <br />VALUATION: <br /> <br />LOT'. <br /> : 1 9S 2~ EEU ' 62 <br /> :AREA: UNITS: <br /> ¢ 5 .~ ~C i NO NO <br /> <br />TYPE: ON-SITE SEWAGE <br />PERHIT OR APPLICATION NO: 42766 <br /> <br />CONTRACTOR~ MO. <br />WALLACE~ P.P. <br />SANE <br /> <br />PHONE: 74g-254~ <br /> <br /> WATER SUPPLY: <br /> TEST HOLES REAOY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />:PREVIOUS NO. 8EOROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br />ANNUAL EVAL. - T'EMP OR HDSHP MH i $75_00 <br /> <br />PAYEE: <br /> <br />TOTAL ASSESSED FEE8 <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$75.00 <br />$'75.00 <br /> $0.00 <br /> <br />B~LANCE DUE $0.00 <br /> <br /> RECEIPT NO: <br />TYPE: CHECK <br /> <br /> RECEIVED BY: PB ................................. 0 <br /> SEE ATTACHED OOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />· THIS IS A VALID PERMIT · THIS PERMIT EXPIRES 560 DAYS FROH ITS ISSUE OATE. iF <br />CONSTRUCTION FAILS TO MEET ALL REgUIREMENT8 OF $TATE LAW8 ~ND H~RION COUNTY 8UILOING AND ~ <br />ZONING OROINANCES, THiS PERMIT SMALL BECOME NULL ANO VOID. <br /> <br />REMARKS: HARDSHIP RENEWAL <br /> <br />DONALD E. WOOOLEY, MARION COUNTY BUILDING OFFICIAL / 8Y <br /> <br />OFFICE COPY <br /> <br /> <br />