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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 />04/29/88 TIME: 11;24:34~ <br /> <br />GERHARDS, PETER <br /> <br /> 380 BUTTE ST <br />DETROIT <br /> <br />OR 97342 <br /> <br />USE OF BLJlL.DING: <br /> <br />MAILING ADDRESS: <br /> <br /> 138 STEELHAMMER RD <br /> SILVERTON 97381 <br /> PHONE: 8?3-54?0 <br /> <br />I OT BLOCK: <br /> 1 12 <br />W]DTli: 'l ?0 DEPTH: 50 <br /> <br /> TAX LOT: 90221-770 <br /> <br /> CONSTRUCTION TYPE: <br /> <br /> CONTRAC)' 01TY; <br />OBTRO T T NO <br /> <br />AREA: 9500-00 :UNITS; SP <br /> <br />HAMMOND <br /> <br />SITE NUMBER: 4290 <br />VALUATION: <br /> <br />' OATEGORY: RESiDENT;AL <br />: OCCUPANT LOAD: <br /> <br />MAP: <br /> 105 <br /> <br />TYPE: ON-SZTE SEt,,~GE <br /> <br />PERMIT OR APPLICATION NO; 8184 <br /> <br />CONTRACTOR, NO, <br />GERHARDS, PETER <br />136 STEELHAMMER RD <br />SIL,VERTON 97381 <br />r~"lO~E: 873--5470 <br /> <br />WATER SUPPLY: CW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING BRAIN FIELD LINES: <br />SEPTIC T~NK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> QUANTITY ~vIOUNT <br />REPAIR '1 $35,00 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />:~ 3 S, CD 0 <br />$35_00 <br /> $0. ¢0 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: iNVOiCE NO: <br /> <br />RECEIVED BY: CL ................................... TYPE: CHECK <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIRE]VlENTS OF ON-SITE SEWAGE SYSTEM+ <br /> <br />* THIS IS A VALID PERMIT * THIS PER~IT EXPIRES 360 DAYS FROM ITS IEx.SUE DATE. IF <br />CONSTRUCTION FAILS TO MEET ALL REQUIREMENTSOF STATE:LA. NS AND FLARION COUNTY BUILDING AND <br />ZONING ORDINANCE.S, THIS PEF~IIT SHALL BECON1E NULL AND VOID. <br /> <br />REMARKS: SEPTIC REPAIR <br />~}I'AALD E- ~)OODLEY, MARION COUNTY BUILDING OFFICIAL / BY ..... _Lt~_ ................. <br /> <br /> <br />