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MARION COUNTY <br /> BUILDING INSPECTION <br />Senator Building · 220 lqigh Streel NE · Second Floor · Salelll~ Oregon 97301.3670 <br />Office Hours: 8:00 - 4:30 ?hone; 588-5147 Code-A-Phone: 4:30 p.m. - 8:00 a,m, <br /> <br />DATE: 0?/28/88 TIME: 11:22:24m <br /> HARRIS, DONNA <br /> <br />RESIDENTIAL. <br /> <br /> 11875 JAMES NAY <br />AUMSVILLE OR 97225 <br /> <br />SE <br /> <br />~4ARI (IN COUNTY NO <br /> <br />2 <br /> <br />TERRY SILBERNAGEL - REP <br />371-3013 <br /> <br />SITE NUMBER: 5001 <br />VALUATION: <br /> <br />28 <br /> <br />NO <br /> <br />48 <br /> <br />TYPE: 0N-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />HARRIS, DONNA <br />TERRY SILSERNAGEL - REP <br />371-2013 <br />PHONE: <br /> <br />9970 <br /> <br />HATER SUPPLY: ~ <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: 900 <br />EX~STtNG DRAIN FIELD LINSS: <br />SEPTIC TANK PUMPED: 7~22-88 <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />EXISTING SYSTEM EVAL. RPT. <br /> <br />PAYEE: <br />RECEIVED <br /> <br />QUANTITY <br /> 1 <br /> <br />TOTAL ASSEEkSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />ANOUNT <br /> $1oo,oo <br /> <br /> $100,00 <br /> $100.00 <br /> $0.00 <br /> <br />BALANCE DUE $0.oo <br /> <br /> RECEIPT NOt <br />TYPE: CHECK <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREI~ENTS OF ON-SITE SEBIAGE SYSTEM. <br /> <br />* THIS IS A VALID PE~IT · ~IS PE~IT ~PI~ 380 ~ F~ ITS I~E <br />~T~CTI~ FAI~ TO ME~ ALL ~1%~ OF STATE ~ ~D ~RI~ ~N~ BUILDING ~D <br />Z~ING ORDIN~C~, ~IS PE~IT NULL ~D <br /> <br />REt4ARKS: LOAN R~4172 ~ <br />00NALB E. NOODLEY, [VlARION COUNTY BUILDING OFFICIAL / BY ........ ~× .......... <br /> <br /> <br />