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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 H,.JGH STREET NE <br /> SALEf¢~, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />DATE: 05/12/88 TIME: 2:11:45~ <br /> SPARKS, BRAIN <br /> <br />51TUB ADDRESS <br /> <br /> 150 SANTIAM AVE <br />DETROIT OR 97342 <br /> <br />1220 MONMOUTH :~39 <br />INDPENDNECE, OREGON 97351 <br />PHONE: <br /> <br />[ CT tCLOC K <br />6 9 <br /> <br />WIDTH. 35 DEPTH 150 <br /> <br />SEOTION: TOWNSHIP; <br /> 1 ]0 <br />AREA 5250.00 UNIfS SF <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br /> CONTRACT CITYI <br />DETROIT <br /> <br />SU SDtVISION: <br /> HAJv~4ON D <br /> <br />SITE NUMBER~ 4354 <br />VALUATION: <br /> <br /> RANGE ZONE. <br /> 5E RS <br /> RREG. LOT NO <br /> <br />CATEGORY <br /> RESIDENTIAL <br /> <br />OCCUPANCY: <br /> <br />OCCUPANT LOAD <br /> <br />105 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 8323 <br /> <br />CONTRACTOR, NO. <br />SPARKS; 8RAIN <br />1220 MONMOUTH <br />INDPENDNECE, OREGON 97351 <br />PHONE: <br /> <br />WATER SUPPLY: CW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: 400 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: 6/]9/85 <br />PREVIOUS NO, BEDROOIVLS: 1 <br /> <br /> I TEN QUANT I TY AMOUNT <br />.AUTHORIZATION NOTICE - FLD. VISIT I $105.00 <br /> TOTAL ASSESSED FEES $105.00 <br /> PREVIOUS RECEIPTS $105.00 <br /> THIS 'RECEIPT $0.00 <br /> <br /> BALANCE DUE $0.00 <br />PAYEE: INVOICE NO: <br />RECEIVED BY: ~ , TYPE: ' CHECK :~: <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br />~ THIS IS A VALID PERMIT ~ THIS PEr'lIT EXPIRES 360 DAYS FROt4 ITS ISSUE DATE. IF <br />CONSTRUCTION FAIL..% TO NEET ALL RE~IR~ OF STATE bAHS AND I~t&RION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PERNIT SHALL BECONE NULL AND VOID. <br /> <br />DONALD E. WOOOLEY, MARION COUNTY BUILDING OFFICIAL / BY .......... ............ -~-- <br /> <br />FORM ,* MC I 556 REV ,¢,~' OFFICE COPY <br /> <br /> <br />