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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 588-8147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />DATE: 11/18/89 <br />OWNER~ TAX LOT: CATEGORY: <br /> BRUSH, GEROME 90222-430 <br />SITUS ADDRESS: ~N~RUCTION TYPE; OCCUPANCY: <br /> <br />RESZDENTIAt, <br /> <br /> 280 TUMBLE ST 'CONTRACT CITY tJGB: OCCUPAN3 LOAD <br />DETROIT OR 97342 <br /> ...... DETROIT .................. NC <br /> <br />LOT: <br /> <br />CLARE A. PITCH - RENTER <br />PO BOX 597. DETROIT 9?342 <br />PHONE: SITE NUMBER: 4?85 <br /> VALUATION: <br /> <br /> 'I l0 5~ SF <br /> 50 100 5000.00 SF NO NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO_ 36421 <br />KEVIN*S BACKHOE SERVICE <br />P.O, BOX 488 <br />DETROIT, OREGON 9?342 <br />PHONE: <br /> <br />20244 <br /> <br />WATER SUPPLY: CN <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE~ <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br />ITEM QUANTITY <br />REPAIR - ~JOR I <br /> <br />PAYEE: <br />RECEIVED BY: c] <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />Ar4OUNT <br /> $80.00 <br /> <br /> ~80.,00 <br /> 80,00 <br /> $0.00 <br /> $0-00 <br /> <br /> INVOICE NO: <br /> TYPE: CHECK ~: <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM_ <br /> <br />* THIS IS A VALTD PERMIT *: THIS PEI:~IIT EXPIR~B 360 DAYS FROM ITS I,%~JE DATE. IF <br />CONSTRUCTION FAIL~ TO ~IEET ALL REQUII~EMENTS OF STATE LA~ AND I~ARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PERMIT ,.~rlALL BECOME NULL AND VOID. <br /> <br />REMARKS: rcAjOR REPAIR <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />=ORM ,, MC ~ :,,, M~.V ~;/.~ OFFICE COPY <br /> <br /> <br />