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MARION COUNTY BUILDING iNSPECTION <br /> SENATOR BLDG. NO. 225 <br /> 220 HIGH STREET N <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />have rela0 anti agree to the lerrn$ Sta~ecl on the revers~ Side Of <br /> <br /> 12393 WEST STAYTON RD <br /> AUMSVILbE OR 97325 <br /> <br />: MAILING <br /> <br /> ~ SITE NU~: 94-00648 <br /> PRONE; ! VALUATION: <br /> <br />..................................................... k ~S .~!~. ........! ZFp_ 60 <br />,WIDTH: rO~PT~ AREA: UN?B . ~$, LOT: ' ' i~R: ................... : <br />: 3. ~ AC ~0 ~ No : <br /> <br /> TYPE: ~-SITB S~A~g ~ATZR SUPPLY: PW <br /> <br />PERMIT OR A~PLICATION NO: <br /> <br />CONTRACTOR, NO. 34916 <br /> STAYTON SEPTIC <br />41155 STAYTON SCiO DR SE <br />STAYT~N, 97383 <br />PRONE. 769-2302 <br /> <br />52887 <br /> <br />SITE EVALUATION NUMBKR: <br />EXISTI~ TANK SIZE; <br />~XISTIN~ DRAIN FIELD LINES: <br />S~PTIC TANK PU~PED: <br />'PRE~IOUS' NO% BEDROOMs: <br /> <br /> "TOTAL,'AgSESSED,~EE$ $125.00 <br /> · PREV, IQ~S;'.RECE~PT$" $125.00 <br /> <br /> $o.oo <br /> <br />* T~I$ I$ A VALID PERRIT,',*''.TE~$.;~RHIT'.j~piRES 360 DAYS FRO~ ITS iSSUE DATE. IF <br />CONSTR~CTION FAILS'TO .ME~T..ALL.R~UI'R, Fjf~NT$ OF ,ST'A~EJLAWS ~D MAR~ON COUNTY BUiLD~NG <br />ZONIN~ ORDIN~CE$, T~I~ PER~IT S~LL ~ECOME.~55 'AND ·VOID. <br /> <br />REMARKS; MAJOR REPAIR, MUST VERIFY PROPERTY LIN~S PRIOR TO CONSTRUC~___~ <br />DONALD E. ~OODLEY, MARION COUNTY BUILDING OFFICIAL / BY ' <br /> <br />OFFICECOPY <br /> <br /> <br />