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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 S:O0 - 4:$0 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />QR ~7B~2 <br /> <br />[ OCCtJPAN~' LOAD: <br /> <br />' ' F i <br /> <br />2375 S!~ PALISADES ~EST DR ; <br />PHONE: ~38-8881 VALUATION: <br /> <br />.................................................. t ~LOC~(; : S~CtlON: · TOWNSHIP- ........................................... : ~ANGE: <br /> <br /> TEST H8LE8 RE~Y= <br /> <br /> CL)IIFRACIOR~ ND. EXISTING DRA~N FIELD LINES-' <br /> HOGAN,, JACK ~EPTIC TANK <br /> 2575 ~W PALISADES CREST iDR PREVIOUS NO, <br /> LAKE OSW~GO. OR 97~ <br /> PHONE= <br /> <br /> ITEH QUANTITY AMOUNT <br /> SITE EVAt. IIATIONs FIRST LOT 1 $265.00 <br /> <br /> TOTAL AS~ES$~ FEES $2~5.00 <br /> PREVIOUS RECEIPTS $2~.o~ <br /> THIS RECEIPT <br /> "'BALANCE DuE <br /> PAYEE: ': , RECEIPT NO: <br /> RECEIVED BY: PB ............... ~ ....... L'"" ":'" TYPE: CHECK ~: 0 <br /> SEE ATTACHED DOCUHENT FOR REQUIR'E~ENTS:DF dN~B¢~E..SEWAGE SYSTEM. <br /> ~ THIS IS A VALID PER~IT g T~X$ 'PER~IT EXPX~' 36~'DAYS Fr~l If~ ISSUE ~ATE. IF <br />CONSTRUOTZON F~ILS TO ~EET'.AEL REQIJ~EHENTS OF'STATE 'LAWS AND MARION COtSNT¥ BUILDING AND <br />ZONING ORDINAN(,ES~ TH~D PERNIT 'SHALL, BECOME NULL AWD VOID. <br /> <br />OFFICE COPY <br /> <br /> <br />