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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO. 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONI~: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: ,588-7904 <br /> <br />The work w~l) be ~r ormed by a reg stered bu der. <br /> <br />ow.~ D~TE: 05710/9':~ 'T~'~"I[~].2'F, S2 .......... :r~'~L6~r: ........... <br /> <br />........ bRr[,~oA'f: <br /> <br /> 1&5 CLIFFORD AVE <br />DETROIT <br /> <br />lOT: <br /> <br />3746 SW COMUS <br />PORTLAND,FOR 97219 <br />PHONE: 24~-6438 <br /> <br /> DEPT~t: <br /> <br />-- ~'~ · <br /> <br />1.3 <br /> <br />OR <br /> <br />97342 . . ::. ]~ETROIT .... NO <br /> <br />· : <br /> <br />...... PATTON' l'I .................................... <br /> <br /> SITE NUNBER: <br /> VALUATION= <br /> <br />MAP; <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PE~MI~ OR ~PPLICAT/OH NO: <br /> <br />CONTRACTOR~,N[I~ 44~77 <br /> He~ry Allu~s ~cevat~ng Ltd <br />400 Loaf Rd <br />SilveY'to~ 97~8~-0000 <br />PHONE: 87M-4M47 <br /> <br />WATER SUPPLY <br />TEST HOLES READY: <br />SITE EVALUATION NUHBER: <br />EX~TIN~ TANK <br />EXISTING DRAIN FIEL.~ LINES: <br />SEPTIC TANK <br />PREVIOUS NO. BEDROOHS: <br /> <br />ITEM QUANTITY AMOUNT <br /> $0.00 <br /> <br /> TOTAL A,'~£S~ED FEES ~0.00 <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT <br /> BALANCE <br /> PAYEE~ INVOICE NO: <br /> RECEIVED BY: PB .......................................... TYP~: CHECK ~: 0 <br /> <br /> ,,CE ATTACHED QOOlJHENT FOR REQUIREMENTS OF ON-~ITE SEWAGE SYSTEM. <br /> <br />CONSTRUCTION FAILS TO MgET ALL REQUIREMENTS OF STATE LAW. A.g MARION CO <br />ZONIN~ ORDZNANCES, THIS PERMIT SHALL BEOOHE NULL AND VOID. <br /> <br />REHARKS: REF: SE DENIAL ~42049, OKAY FOR STANDA[~D ORIGINAL & S/F REPAIR, SEE REVISED F'LO'I <br /> <br /> PLAH DATED 4/30/93. FIELD STAKED FOR LOCATION. <br />DONALD E. WOO~LEY. HARMON COUNTY BUIL. Di[NG OFFICIAL / BY <br /> <br />OFFICECOPY <br /> <br /> <br />