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FOR OFFICE USE ONLY <br />Received B~ _ <br />Zoniag Validation ~ <br /> -- <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br />~0 ~ Sm:et }aR <br />S~.lenx OR ~7301 <br /> <br /> .4130 pm Pho:~ $88-$147 <br />O)d~-A.?hrJ~ <br /> FAX 588-794g <br /> <br />SITlg EVALUATION AN])IOR SEPTIC PERMIT A~PLICATION <br /> <br />[ ~ite Evaluatlon~ flexi 1000 ~1. DS~, 245,~ <br />$~45 00 ~ $15 ~oh gd ~ ~a{- DSF 10,00 ..... <br /> <br />Hohi{ngTa~ 245.00 ~0.~ <br />p{es~ure DistKbution , ,-- 350.~ 10.~ <br />Red ~{~*n~ Sgee~ .... 245,00 10,0O <br />~¥ench 245.00 1~.00 <br />g~p S/op~ , 245,~ }0.00 <br />{For each additional 500 gal. D$~ <br />E~i~Zm8 ~ys~m ~valu~hou ~po~ l $0.00 10,00 <br />authod~at~n Hotiee ~eld Visit) 1 ~0.00 10,00 <br />~nnual Bvaluation of ~ $ysle~ ..... ~,~ <br />,,~mpe r ~ck ln~oc/ion, ~ track ~0,~ <br /> <br />r,m a regWu:red builder or ( ) the autho6~e-d tcpm~ntafiv¢ <br /> work w~ll be pert'o rmcd by a DEQ {~cett~d ]n~llcr <br /> <br />$i._.~m Ewtoattoa, fit~ ~ : 245.~ 20.~ <br />~(c EraS'on, ea. ~dl_ Io~ 20~,~ 20.~ <br />Gray W~rDigpo~ S~p 120,00 ~,~ , <br /> Holding Tank , ,, 24ff,~ 10,00,,. <br /> ~p~e T~nch , ..... 245.00 10,0O <br /> ~n~im~ign Pe~,i~ ~oe~I ~o Field ~jsit) aS.oo I 0.00 <br /> ~utho~tion No~i~ ~gld Visit) l EO.~ 10.~ <br /> Autho~on Ho~{~ ~o ~ld Visit} gS.~ 10~ <br /> Ana~ ~odAl/em~ve ~m 150.~ <br /> <br />$1 N~It.E OF AI'PLICA1WI': DATE: <br /> <br /> <br />