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MARION COUNTY BUILDING iNSPECTION <br />SENATOR BLD(~, NO. 225 <br />220 HiGH STREET NE <br /> SALEM, OREGON 973(31 <br /> <br /> PHONE; 58B-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE; 588-7904 <br /> <br />I am perto¢~lng work On ~ property I Own or OCCUpy, .. <br /> <br /> PATE; 0Z/i4/93 TIHE.: .li:40~46 ...... ./T~x"E6f: ............ <br /> DUNCAN, J~HES E A DOROTHY Y 6Z~8~-~00 RESiDeNTIaL <br /> <br /> 9033 ~ STAYTON RD SE ~ ~'~T'~T'~; ........ ~-~ <br /> <br /> ~UHSV~LL/ 0E 97325 . ~H~R~0N COUflTY~ N0 <br /> <br /> ....... ', sb~b~i~; ................ <br /> <br />SAHE ': ..................................... <br /> SITE ~UH~ER~ <br />PHONE: 749-1545 VALUATION: <br />eLOOK~ s~f~dN:' ........ ~6~hiP: ...... ~': ............... ."~6~: : <br /> <br />TYPE: ON-SITE SEJ, IA~E <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR~ NO. <br />DUNCAN, .,)AMEs E ~ OOROTHY Y <br /> <br />PHON[: 749-~545 <br /> <br />44658 <br /> <br />~TER SUPPLY: P~ <br />TEST HOLES READY; <br />SITE EVALUATION NUHBER: <br />EXISTING TANK SIZE: <br />EXISTING ORAIN FIELO LINES: <br />SEPTIC TANK PUMPED; 1-5~93 <br />P~EVIOUS NO. 8EDROOHS: 4 <br /> <br /> ~TEN QUANTITy AMOUNT <br />AUTHORIZATION NOTICE - FLD. VISIT 1 $ISO.O0 <br /> <br /> TOTAL ASSESSED FEES $15o.00 <br /> PREVIOUS RECEIPTS $130.00 <br /> 'THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />PAYEE~ <br />RECEIVED BY: P8 ........................ <br /> <br /> RECEIPT NO: <br />TYPE: OHEC~ ~: 0 <br /> <br /> SEE ATTACHEO DOCUMENT FOR REQUIREMENT8 OF ON-SITE SEWAGE SYSTEH, <br /> <br />CONSTRUCT[ON FAILS TO MEET ALL REQUIREMENTS OF STATE LAW8 AND MARION COUNTY 8UILO[N6 ANO <br />ZONING OROINANOES, THIS PERMIT SHALL 8ECOHE NULL AND VOID. <br /> <br />REMARKS: SEPTIC AUTH <br /> <br />.DONALD E. WOOOLEY, HARION COUNTY 8UILDINo OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />