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MARION COUNTY <br /> <br />Senator Building * 220 High Street NE ·Sccond Floor * Sztlem, ©rogot~ 973(}1-3¢1) <br /> <br />DATE: 12/20/88 TIME= 1~13:3gp <br /> <br /> MARTIN, KIM MATHEN, EXECUTOI~ <br /> <br />RESIDENTIAL <br /> <br /> 11848 DUCK INN RD <br />GERVAIS OR 97026 <br /> <br />NO <br /> <br />SAME <br /> <br />I:~HONE: <br /> <br />SITE NUMBERt <br /> VALUATION: <br /> <br /> 35 5S 2N <br />12.8300 AC NO <br /> <br /> EFU <br /> <br />NO <br /> <br />18 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />MARTIN, KIM MATHB1N, EXECUTOR <br />SAME <br /> <br />PHONE: <br /> <br />12991 <br /> <br />NATER ,~¢JPPLY: PN <br />TI~T HOLES READY: <br />SITE EVALUATION NUfcBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: 7-15-88 <br />PREVIDUS NO. BEDROOMS: <br /> <br /> ITEM <br />EXISTING SY~TE~I ~VAI... RPT. <br /> <br />PAYEE: <br />RECEIVED BY: DM <br /> <br />TOTAL A,E~E>3SED FEES <br />PREVIDUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> 1 $100.00 <br /> <br /> $100.00 <br /> 100.00 <br /> $0~00 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: <br />CHECK <br /> <br />SEE ATTACHED DOC2JMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />* THIS IS A VALID PE;NIT * THIS PERt, lIT D(PIRIB 360 DAYS FROM ITS I&..qJE DATE. IF <br />CONSTRUCTION FAILS TO MEET ALL REQUIRENENTS OF STATE LAblS AND MARION C~UNTY BUILDING A~ND <br />ZONING ORDINANCES, THIS PEI~IT ,.~HALL BE. CONE NULL AND VOID. <br /> <br />REMARF~: LOAN Rg5745 <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> <br />