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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET I~E <br /> SALEM, OREG@N 97301 <br /> <br /> PHONE 888-8147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br /> Ti~e work will be performed by a registered builder. <br /> Other <br /> <br /> DATE: 04/28/88 TIME: 11:4~2:84a <br />OWNER; <br /> COAKLEY, RODNEY & MARIA <br /> <br />SITUS ADDRESS: <br /> <br /> 5785 SHAW HWY <br />AUI'4SVI LLE OR 97325 <br /> <br />USE OF BUILDINGz <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DATE: <br /> <br /> ~AX LOT: 58055--000 <br /> CONSTRUCTION TYPE: <br /> <br />M~R ION COUNTY i NO <br /> <br />MAILING ADDRESS: <br /> <br /> 185 CULVER LANE SO <br /> SALEM <br /> PHONE: 362-6508 <br /> <br />SUBDIVISION: <br /> <br />SECTION: :TOWNSHIP: <br /> <br />SITE NUMBER: <br /> VALUATION t <br /> <br /> NO <br /> <br />CATEGORY: <br /> RESIDENTIAL <br /> <br />OCCUPANCY; <br /> <br />: ZONE: MAP: <br />: AR <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PEENIT OR APPLICATION NO: 7766 <br /> <br />CONTRACTOR, NO. <br />COAKLEY, RODNEY & HARIA <br />185 CULVER LANE SO <br />SALEM 97302 <br />PHONEt 362-8508 <br /> <br />KtATER SUPPLY; <br />TEST HOLE~' RE.&DY; <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: 1000 <br />EXISTING DRAIN FIELD LINES= <br />SEPTIC TANK PUMPED: 4/1/88 <br />PREVIOUS NO+ BEDROOMS: 1 <br /> <br />450 <br /> <br /> ITEM QUANTITY AI~OUNT <br />AUTHORIZATION NOTICE - FLD. VISIT I $65.00 <br /> TOTAL. A SSESSED":~EES $65_00 <br /> PREVIOUSRECEI~TS $65.00 <br /> THIS :RECEIPT 0.00 <br /> <br /> DUE $0.00 <br />PAYEE= : '~ECEIPT N0: <br />RECE~VEO BY: CL "~E~' ::CHECK ~: <br />SEE ATTACHED BOOUMENT FOR RE(~ZREMENTS OF:~'S~TESENAGE Sy~EM. <br /> <br />~ THIS IS A VALIB PERf4[T ~ THIS PEI:~lIT"B~B[RES:$60'DAYS FRO~I [TS ISSUE DATE. [F <br />CONSTRUCTION FA[LS TO AND MARION COUNTY BUILDING AND <br />ION[N6 ORDINANCES. THIS PERI~ZTSHAEL <br /> <br />REMARKS: AUTH NOTICE REPLACE MO HOME <br />[X~NALD E_ ¥'~QDLEY, MARION COUNTY @UIL~ING OFFIOr:AL <br /> <br />FORM ,, MC ~5-bG TREV. 6/87 OFFICE COPY <br /> <br /> <br />