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Appl, Revd <br /> <br />Dale" MAY 7, 1979 <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br />Senator Building # 225 <br />220 High St, N,,E, 2nd Floor <br /> Salem, Oregon 97301 <br />R.H. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 - 588-5148 <br /> <br />Permit No '7,.,./~/,- c~ Z.~, ¢ <br /> <br />Type or Perroit:: REPLACEMENT OF SEPTIC ~I'~ ~N~ DRAINFI~LD Tax Lot NO:: <br /> <br />Bldr,, & No,,:: JO~ W~&ITE INSTALLE~hone;: Address: <br /> <br />Plans by:: Phone:: Address: <br /> Map Paae Zone Zone Chg, Part r Cond Use Variance F,re Zone Occupency ] Type of Const <br /> L <br /> ] <br /> <br />Lot No:: BIk No Sub dy,, . Lot Size I *~-~-~ Corner'? <br /> <br />Water Supply: 'r~gLL Valuation;; <br /> <br />Sewage Si[e <br />Disposal:: S EP T~[¢, Evah: Permit Fee;: <br /> No, <br />Area of Bldg. Stories;; State Surcharge:: <br /> Roof <br />Basement:; Type:: Plans Chk, Fee:: <br />Heating <br />System, Septic Permit Fee:: <br /> <br />BTU:: <br /> <br />Total Fees:: <br /> <br />Rcpt, No; <br /> <br />I agree to build acciord~ng tO thec~rbmitted plans and spec/£/cgtlon$, the /a~ of the State of Oregon and the Ordinances of M~rion <br />County Permit expi~es if wor~;~ ~20 day¢. <br />SIGNATURE OF APPLICA~ ~ ~"'~ ~ <br />~ALIDATIONS: <br />ZONING ~By ~ , SEPTIC T~ By ~ ~ PLANS / <br /> <br />the s~ii~.~stem i8 no~ functioning well and he feels he wants to replace the whole thing. <br /> <br />It is an old metal tank and has approx. 1 line of 50 ft. <br /> <br />./ <br />PLEASE NOTE- Driveway and sidewalk inspections are requited by Public Work/ 588.5036 <br /> Other permits required by this dept:: Plumbing [] Elec[rical [] <br /> <br /> <br />