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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREFT NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147' 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> ) <br /> <br /> tl3{s ~o(3ument. <br /> <br />.... DA~E: _ Q2Jl.7/,94 <br /> HUBBERD, TIM <br /> <br />8995 SW PINEBROO~ <br />TIGARD, OR 97224 <br />PHONE: 639-6890 <br /> <br />SITE NUMBER: 94-00697 <br />VALUATION: <br /> <br />i'~d% ................ f'§Cbc'~: ' ........ "§E~ii-io%/: ...........,'-TL~v~W~; ..........['ngh&~ ....... I ZONE: j MAP: <br /> <br />[W]'b~R~ ............. [DEPTH: J AREA: ~ UN,S; { R~E& LO7, } CO~NER: ........ a ..................... <br />i j ' sF i ~o <br /> ..... i 23io~. j <br /> <br />TYPE: ON-SIT~ SEWAGE <br />PERI{IT OR APPLICATION NO: 52970 <br />CONTRACTOR, NO. 33830 <br />DENNIS GIBHIONS-~RICE RITE SEPT <br />18220 NE HILLSIDE DR ..NEWBERT, <br />NEWBZRG, 97132 <br />PHONE: 538-2276 <br /> <br /> WATER SUPPLY: PN <br /> TEST HOLES READY: <br /> SITE EVALUATION NUMBER: ALBER8 ADD <br /> EXISTING TA~K SIZE: <br /> EXISTING DRAIN FIELD LINES; <br /> SEPTIC TANI( PU~PED: <br />"PREVIOUS NO.'BEDROOMS: <br /> <br /> i TEM QUANTITY AMOUNT <br />STANDARD ON-SITE SYSTEM ...... I $255.00 <br /> ,, .' ..... .. '~OT~iJ ~S'SESSED 'F~,~$ $255.0o <br /> · . p REV'ZOOS .,',RECEIP~ S" $ 2 5 5.0 0 <br /> <br /> THIS IS A V~ID ~T '~" .~IS P~T E~IRES '3~0, ,DaYs F~ ITS ISSUE DAT~. <br />CONSTRUCTION FAILS TO ,'MEET .~5. REQUIRE~NTS,'/OF 'STAT~, LAWS.,:~D MARION CO~TY BUILD~N~ AND <br />ZONING ORDINANCES, T~IS PE~IT SH~L'BECO~E ,NULL ,~D VOID. <br /> <br />REMARKS: PERMIT <br /> <br />DONALD E. VOODLEY, MARION COUNTY BUILDING' OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />