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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
<br />24 HOUR CODE-A-PHONE: 588-7904
<br />
<br />of a registered builder,
<br />
<br />TYPE= ON-SITE SEWAGE
<br />
<br />PERMIT [IR APPL$CATIOfl
<br />
<br />£(,llll RACT(,1R,~ N0*
<br />
<br />5~2~ NW ESTER ~'~'
<br />VAHCOUVER~ WA ~8&,~5
<br />PHONE~ 2~6-695-,~66
<br />
<br />46194
<br />
<br />WATER SUPPLY: CW
<br />TEST HOLES READY~
<br />BITE EVALUATION I,IUDfBEF~: 4257~
<br />EXIST:lNG TANK S:[ZE~
<br />EXISTING DRAIN FIEL~ LINES:;
<br />SEP'f[C rANK
<br />PREVIOUS NO. ~EDRO(J~S:
<br />
<br /> ~'I'EH QUANTITY A~Ot,)N'I-
<br /> S. EEF'A6E TREI,iCH 1 $255.0(~
<br />
<br /> 'f'OTAL ASSESSE~. F'E~ES '~'~:-~
<br /> 'THIS RECE:IRT ' .¢~= :.
<br />
<br /> PAYEE:t JEFFREY,, CHASE ~],IVOICE Nfl: ,,~'4~,.,''~'
<br /> RI~:CEJ:VE~ BY: DH2 I'YF'E: IN ¢t-IECK
<br />
<br /> BEE ~'~'f'ACHE~ ~OCU~ENT FO~ RE~U%~RE:~ENTS '8F ON~S,I,TE 9EWAGE SYSTEM,
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<br /> ~ TH~S IS A VALI~ PERMIT ~ TH~S PER~IT EXPiRES,S6~ ~AY~ FRO~ ~TS ISSUE ~ATE.
<br />CONSTRUCTION FAILS TO ~EE~ ALL. REQUIREMENTS OF STALE LAWS At,l~ ~ARZON {,OJNrY
<br />ZONll,t50kI)INAHCES~ l'NI5 PERHIT SHALL 'BECOME NULL AND VOID,,
<br />
<br />~:U;i'NARKS:', Chi,:,[ J,,, AS [.L,,,R,..IIT,..,Y ~-IE~,~D Si'Al(ED FOR L_£]C, ATI,.]N,:,,. SEE T PLAN ))A'IE'ID
<br /> 'l:,l", ,~,, ~o{'~-'~ !:iAI~-tl) FILTER I-Ol:( ~ .ITtJRE. REPA]:RS. ~ ~i:~ iflAX.
<br />()(:/I,(AL.:O E,, I,,,:[)OD'..I~:Y.¢ ~AR]:C}!'i ¢_',~':~t.'NTY I!~UZi..I).l:i,f_; £)F't:']:E:i:AL / I-~Y ..............................................................................
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