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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 588-5147 <br /> CODE-A-PHONE 4:30 P-M. - 8:00 A.M. <br /> <br />I am performing work on 8 property I own or occupy, <br />lama registered builder OR( ) the authorized representative <br /> <br />o~&:r¢; o6/2e/98 <br /> <br /> BRtJSH, CLIFF <br /> <br /> 240 TUMBLE ST <br /> DETROIT <br /> <br />USE OF BUILDING. <br /> <br />MAILING ADDRESS; <br /> <br />TIME: 2:51:21p <br /> <br /> ! 9Q222-~¢20 ; RESIDENTIAL <br /> , CONSTRUCTION TYPE; ; OCCUPANCY: <br /> <br /> ;~o~fRAC~ CITY; tJd~B: OCCUPANT LOAD: <br /> OR 97342 <br /> NO L <br /> <br /> CLARE A. FITCH - RENTER <br /> PO BOX 597, DETROIT 97342 <br /> PHONE: SITE NUMBER: 4?85 <br /> <br />WlpTH: ;OEPt'H: AR'EA; t t0 i;4;;-EE-L-S;~T 5.E SF <br /> 5o ~o0 5oo0.00: S~ N~ <br /> <br />TYPE: ON-SITE SENAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />BRUSH, CLIFF <br />CLARE A. FITCH - RENTER <br />PO BOX 697, DETROIT 9?342 <br />PHONE: <br /> <br />9009412 <br /> <br />~TER SUPPLY: OW <br />TEST HOLES READY~ <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: 500 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: 4/~9/88 <br />PREVIOUS NO. BEDROOFIS: <br /> <br /> ,., THIS REOEIPT $80.00 <br /> <br /> BALANCE BlJE $0.00 <br /> , ALA <br />PAYEE: 8RUSH, CLIFF -~-"*-~¥"'/~_ INVOICE NO.. 10076 <br />RECEIVED BY: BM TYPE: IN CHECK ~; 0 <br />SEE ATTACHED DOCUNEN'I FOR REQUIREMENTS OF ON,..GITE SEWAGE SYSTEH. <br /> <br />· THIS TS NOT A PERMIT. THIS APPLICATION NUST GO THROU614 A REVIEW p~ kWERE THE <br />FOLLO~NING MUST BE COMPLh_~ED. IT IS THE RED:~mQNSIBILITY OF THE'APPLICANT TO ~RE THAT <br />ALL NECES..,~RY INFORMATION HAS BEEN PROVIDED. <br /> <br /> ,,,O/ <br />PLAN REVIEN: BY ~ DATE 7~__~-~'? CITY JURISDICTION": BY DATE <br />RIDMARKS,: TANK & DRAINFIELD REPAIR <br /> <br /> <br />