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MARION COUNTY BUILDING INSPECTION ri LE. <br /> SENATNOR STREETG.N NE 225 <br /> 220SALEM,OREGON 97301 <br /> PHONE:6864147 8:00.4:30 <br /> 24 H C?UR <br /> CODE-A-PHONE: <br /> E S86-T804 <br /> # I am 04014,r,,rwg woo,rnn a t a.,qr a�ruoy <br /> ! I irtt►rlgtttetbd „ O>i I 1 IRa►u*Zwu d pesenIa . SIONAttplf OF uMUCAMT.,,,,,, <br /> ({ a rtv,aterpd buYdsr. <br /> { h+►*or►or, be tiorfurmg rw <br /> d by a r.gta d b idrr. <br /> C1thr* <br /> Ath d liu d M �blr��►:da IblOt:+t mtn <br /> BEAUFAIT, LOREN 4 MARY <br /> bW tJNKND N CLASS <br /> S At"" MAI tlfeNIXIVON .. .... „ ® �C -. . i�4al►irlry <br /> GATES OR 97346 °RATES NO <br /> USE Or Ri#cEJtNG:.. _ .....,.. ._....��,........,.. _,_.�,,.,.., ..«,.....,.._ .,.......,...._.-e _. _ 3 <br /> st 4!nt MitVS <br /> PHONE: $97-4957 SITE i1U1R: 92-02619 <br /> Lou _ tom. , .., _._.-._ <br /> 100 . <br /> A <br /> 2010 00 <br /> , , � NO No <br /> wWfirft Atli ink r aria Gal- 'b210rtelw <br /> TYPE:...ON-'SITE SEMA JF . r WATER SgUP L Y: CW <br /> PERMIT OR APPLICATION NO: 41314 ; SITE EVALUATION NUMBER; 6-74-36 <br /> CONTRACTOR, NO. ExISTIN(T TANK SIZE; <br /> REAUFAIT, LOREN 4 MARY SEPSIICNTAG NK�PUMPED: LINES: <br /> 1 PREVIOUS NO. BEDROOMS: <br /> PHONE: 597-4957 <br /> ISTANDARDM ON-SITE SYSTEM QUANTITY1AMOUNT <br /> TOTAL ASSESSED FEES 1219.00 <br /> PREVIOUS RECEIPTS 1210.00 <br /> THIS RECEIPT $0.00 <br /> BALANCE OUE 90.00 <br /> 0ICIr <br /> RECEI INV <br /> RECEIVED BY: CL, TYPE: CHECK 9; 0 r <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. pp�� IF <br /> CONSTRUCTION FAILS S A -TORMEETT ;ALL"REQUUS IRENENTS OFF STATE�LLAWS+AND MARSIONSCOUNTY!UILDINQ-AND <br /> ZONING ORDINANCES, THIS PERMIT SMALL BECOME NULL AND VOID. <br /> REMARKS: PERMIT <br /> DONAL° E. WO00LEY, MARION COUNTY OUII-OINU OFFICIAL / BY �.. <br /> OFFICE cOrY <br /> MPS ova+sae daV.a:lt <br />