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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLOC, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> c,,~ HOUR CODE-A-pHONE: 588-7904 <br /> <br /> Other <br /> <br />OWN~h~ <br /> ~/ALLACE, <br /> <br /> ........................................... ?OCCUPANT <br /> PORTER RD SE . CONTUCT Ci~: ~ <br /> AUHSVILLEg$~$ 0R 97~25 : HARIOH COUNT.- <br /> <br />~','C'~,~ ............ ~'2'_ .......... 7'7 ........ ~ 7 ............ ~-'7 ....................................... <br /> <br /> S~HE SI~ NUMBER= 92-0~410 <br /> PHONE: 74~-2645 VALUATION: <br /> <br />............. ~6~f~ ............... :'A~ .................. '~ .............. :"i~. toT: <br /> <br />~' YA~"~-~ ................................. i CATEGORY; <br /> : RESIDENTIAL <br /> <br />TYPE: ON-SITE SEi~GE <br />PERHZT OR APPLICATION NO: 42766 <br /> <br />CONTRACTOR, NO. <br />WALLACE, <br />S~E ...... ' ....... <br /> <br />PHONE: 749-264~ <br /> <br /> WATER SUPPLY: <br /> TEST MOLES READY: <br />S~TE EVALUATION NUHBER: <br />EXISTING TANK SIZE: <br />EXISTING ORAIN FIELD LINES: <br />SEPTIC T~NK PUMPED: <br />:.PREVIOUS NO. BEOROOM~: <br /> <br /> ITEM QUANTITY ~MOUNT <br /> ANNUnL EVAL. = T~MP OR MDSMP MM 1 $75_00 <br /> ' TO nL FEES STS.OO <br /> · PREVIOUS RECEIPTS $75.00 <br /> · ,," " .TH~$ REOE~P~ $o.00 <br /> <br /> 'B~L'ANC~'DUE <br /> PAYEE: RECEIPT NO: <br /> RECEIVED BY: PB ..... .... .. ..... TYPE: ~NEC~ ~: 0 <br /> <br /> SEE ATTACHED DOCUHENT FOR'REQUIREMENTS OF'ON-SITE SEWAGE SYSTEM. <br />· THIS I$ R VALID PERHZT z THIS-PERHZT EXPIRES.56:0 D~YS. FRO~ ITS ISSUE DATE. IF <br />CONSTRUCTION FAILS TO'MEET ALL REQUIREMENTS OF STATE'.LAWS AND H~RION COUNTY BUILDING <br />ZONING ORCINANCES; THIS PERflIT SHALL BECOME NULL ANO VOID. <br /> <br />REMARKS." HARDSHIP RENEWAL <br />DONALD E. WOOOLEY, ~AR~ON COUNTY BIJ[LOTNm OFFICIhL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />