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MARION COUNTY BUILDING INSPECTION <br />SENATOR CLOG, 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 ~ registered builder. <br />Other ,, <br /> <br /> .............. <br />' OWNEq)ATE: 10/21/94 T.Ii~ E ." "- <br /> 15.27.27 i TAX <br /> <br /> 20757 CASE RD NE <br /> AUROP~ OEL___~!7_O~2 ......... ~ARIOt'J. COUNT.Y, :YES <br /> <br /> SAME <br /> SITE NUHBER: <br /> PHONE-" &78-~890 i VALUATION,~ <br />~LOT' ~IELOCK ISEGT ON: TOWN,HIP: ~ RANGE: ~ ZONE'. MAP: <br />;WIDTH'. JDEPTH: ~A; U~'. [ ~G- LOT: ~ ~R'. <br /> <br />2 <br /> <br />TYPE= OH-SITE SEI,~F.E <br /> <br />PERHIT OR APPLICATIOI,I H0: <br /> <br />C0N Tf:~A CTOI;:,, NO,, <br />ARENDT,~ LARRY <br />SAME: <br /> <br />PI-lONE: 678-5898 <br /> <br />5877~) <br /> <br />WATER SUPPLY: F'W <br />TEST MOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK S~ZE: 1000 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: NO <br />PREVIOUS NO. BEDROOMS-" 3 <br /> <br />500 <br /> <br />ITEM QUANTITY ANOONT <br /> <br />Au'rMoRIZATION NOTICE - FLI). VISIT <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />TH.~S RECEIPT <br /> <br />1 $1&0,00 <br /> <br />$160.08 <br /> $0.00 <br /> <br />BALANCE DUE $0,00 <br /> <br />PAYEE: RECEIPT NO',: <br />RECEIVED BY: DF TYF'E.. CHECK :~.: 0 <br /> <br /> ol::E ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />CONSTRUCTION FAILS TO MEET ALL REQUIREMENTS OF ,STATE LAWS AND MARION COUNTY BUILDIN[ AND <br />ZONING ORBINANCES~ THIS PERHIT SHALL BECOME NULL AN~ VOID. <br /> <br />REMARKS:~ At,h FLD <br /> <br />DONALD E. WOODLEY~ MARION COUNTY BU,ILDING OFFICIAL / BY <br /> <br />OFFICE COF'Y <br /> <br /> <br />