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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: 888-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder, <br /> <br />Other <br /> <br />:ow~A~E.. 10/1.2/.94 ~.INE 9. o... 00 - fA~ EOf <br /> JUEDEN, BERHARD & DEB~.IE 670~-000 RESIDENTIAL <br /> HTUS ADDRESS: ' CONSTRUCTION TYPE: OCCUPANCY; <br /> <br /> ~30 CLESTER ST -- -S8~SYGif¢: <br />~ETROIT OR ~7~42 DETROIT ~N0 <br /> <br /> CLESTER <br />~00 SALE~ HEIGHTS AV S <br />SALEM~ OR S~TE NUHBER: 94-~378 <br />PHONE: 371-6~61 VALUATION: <br /> <br /> i ? ~AR~A; 7200 I [,RREG. LOT: <br />80 0 , NO :NO <br /> <br />TYPE: ON-SZTE SEWAGE <br /> <br />PERH[T OR ~PPLICATION N§: <br /> <br />CONTRACTOR, NO. <br />JUEDEN~ BERNARD & DEBBIE <br />70~ SA£EM HEIGHTS AV S <br />SALEN~ OR <br />PHONE: <br /> <br />57749 <br /> <br />WATER SIJPPLY: OW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />A[JIHORIZATION NOTICE - FL, D. <br /> <br /> QUANTITY AMOUNT <br />VISIT 1 $160.00 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> AL' Nc <br /> <br />$160.00 <br />$160.00 <br /> $0.00 <br /> <br />$0.08 <br /> <br /> PAYEE: INVOICE NO: <br /> RECEIVED BY: DF .................................... TYPE: CHECK ~: 0 <br /> <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br /> *,THIS IS A VALID PERHIT ~ TH~S PERN[T EXPIRES 3~0 ~AYSFROH ITS ISSUE DATE. IF <br />CONSTRUCTION FAILS TO NEET ALL RE~UIREHENTS OF STATE LA~S AMD MARION COUNTY ~UILDINC AND <br />ZOIIIIIGU ~ ORDINAHCESv THIS PERMIT SHALL ~ECOME NULL AND VOID. <br /> <br />REMARKS,, SS: AU W/VISIT <br />DOHAL. D E. WOODLEY~ MARION COuNTY~BuILDING oFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />