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MARION COUNTY ~UILDING INSPECTION <br />SENATOR BLOG, NO, ~25 <br />220 HIGH STREET NE <br /> SALEM, OREGON g7Go~ <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-79~4 <br /> <br />have reed and ~fee to the term~"$fete~ O~ the ~'~'~'e'~lOe ~t DA~: ................................ <br /> .............................. ........... <br /> <br /> SITE HUN~: 94-~41~4 <br /> VALLtATION: <br /> <br />TYPE: OH-SITE ~E~AEE <br /> <br />PERHIT OR APPLiCaTION NO: 57IB8 <br /> <br />BERN~T/EME~SOW EXOAVATZN~ ZWC <br />8297 S VALE 6ARDEN <br />6AHBY, ~7013 ." """' ' ' <br />PHONE: ~5-.722~ <br /> <br />WATE~ .SUPPLY , <br />TEST HOLES REAI)Y. <br />S~TE EVALUATION NUMBER: 4745~ <br />E×]STINE TANK SIZE: <br />~XIsTING ~AIN F~EL~ LINES: <br />EPTIC TANK PUHPED~ <br />P~EVIOUS ]gO. BE~ROOHS: <br /> <br /> ITEM (¢UANTITY AMouIgT <br /> .' .... $~. ~,.,. BO <br /> S'FD ONSlfE gYS < 1000 GAL 1 ~'"" <br /> ,~' "- ":,, ": ",TOTAL' ASSESSED FEEs $~'.8,~ <br /> ' '"' "' ' ' ': ' ' PRE~[OU~' REC'EIPT~ ~255.8~ <br /> ' '." ", ", '/.,.' .., ,THIS:,-~ECEIPT ..... $e. ~e <br /> '.~ i, ,,,; :': '":']" ,, ';:;,',,~C~cE :~¢E,. "' ,'..' ~. ~m <br /> ....... ' ....... INVOICe NO= <br /> PAYEE: ' ''~' """ "'"':' ...... :' <br /> " ...... TYPE~ CHECK ~: ~ <br /> t~EG~,[VE~ ~Y= c[ ....... :.: ,';~, , ...... hi:,. '." ' <br /> <br /> SEE A'T'~'ACHED DOCUM~HT 'FQR'"~EQUi~EflEfiT~;D~""~o~LsITE ~EWAGE SYSTEM, <br /> ~ Ttli8 IS A VALI~ PEEflIT,'-~'",,'IH~':'~fl'IT,'EXP'~RES"~6~,:B~YS FROM IT~ ISSUE DATE. IF <br />C¢~STRUCTION FAILS TO HEET"~EE.~E~IJI.REHENT~.'O~ ~ATE.LAWS.A~D MARION CO JNTY 8UIL~I'.~ AMD <br />ZONIblt; ORDINANCES~ fNIS PERM~ ~HAI,,E'.BE~OME NULL AND. VOID., <br /> <br />DOHALO E., ;40Ol)L. EY~ 14ARII]H COUNTY :BU~LDIH60J~FICIAL <br /> <br />OFFICE COPY <br /> <br /> <br />