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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE= 588-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />.ow~s~FDATE:. OZ/LS./94. ....... TI~E: 11"A9'3.6. ............................................. - [ r~ LO~: ~'~Y~d~ .............. <br /> NICKS, G~RALDINE [75290190 ~ R~ID~NTiAL <br /> AOO~ ............... <br /> <br /> A[~SVILD~ OR 97325 ~RIO~ COU~T~ ~0 ~ <br /> <br /> ~IT~ ~: 94-00649 <br /> P~ONE: VALUATION: ~ <br /> <br /> ....................... ~ ......... ,ANS-g~' .............7Z~'~/ ................... <br /> ....... ~fdd~ .... , ~$~6":" ~W~Hm ~ ~? ..... <br /> <br /> : : 5. ~C ~ ~O ~ YES <br /> <br />TYPE: ON-SITE <br /> <br />PERNIT OR APPLICATION NO: 52888 <br /> <br />CONTRACTOR, NO, 34916 <br /> STAYTON SEPTIC <br />41155 STAYTON $CIO DR SE <br />STAYTON, 97383 <br />PHONE: 769-2302 <br /> <br />"~' iT~ <br /> \ <br />REPAIR - ~JOR <br /> <br />SITE EVALUATION NUMBER; <br />EXISTING TANK SIZZ: <br />EXISTING DRAIN FIELD LINES: <br />$~PTtC TAR~ PU~PED: <br />PREVIOUS'NO. BEDROOMS: <br /> <br /> QUANTITY A~OUNT <br /> i S125.00 <br /> TOTAL ASSESSED ~EES <br />.' T~I$ ~CEIP~ $0.00 <br /> <br />PAYEE: : ""'"""" '~"'" '"'.' ,:..',...' ':::'" RECEZPT NO: <br />RECEIVED BY: PB ,' '' TY~E: CEECK ~; 0 <br />SEE ATTAC~ZD DOCU~NT FOR' R~gU~.R~NT~ "0~ ,ON'rS~T~ <br /> <br />CONSTRUCTION FAILS TO,~EET ~', ~Q~IR~NTg OF,~TATE. LAWS.,AND gARION CO~TY BUILDING AND <br />ZONING ORDIN~CZS, T~IS P~IT ~Lb BECOME,~L~ A~D.VOID'2 <br /> <br />REMARKS: MAJOR KEPAIR,, INSTALL AS YAR UPSLOPE AS POSSIBLE TO AVO!~CONCAYE <br /> <br />DONALD E. WOODL~Y, F~A~ION COUNTY BUILDING OFFICIAL / BY ~ . , <br /> <br />OFFICECOPY <br /> <br />LANDFORm. <br /> <br /> <br />