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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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 AM <br /> <br />DATE= 10/27/88 TIME: 1:40:33p. <br />OWNER TAX LOT <br /> <br /> 8914 ,!~HAN SOUARE RD ~E GONTRACTC~TY , UG~ <br /> AU~VILLE OR 97325 <br /> ~ZON ~N~ NO <br /> <br />CATEGORY <br /> RESIDENTIAL <br />OCCUPANCY' <br /> <br />IOCCUPANT LOAD <br /> <br /> PHONE: 749-2721 SITE NUMBER: 5826 <br /> VALUAT I ON .* <br />rL(~T ' iBLOCK ~ANGE !ZONE <br /> <br />SU BD~VISION <br /> <br /> ]SECTION '¥OWNSHIP <br /> <br /> ~ ' 24 8S .... 2N AR3 <br />WIDTH :DE PTI~ lAURA UNITS IRBEG LOT C(~RNER <br /> <br />51 <br /> <br />~ ............ 2. 00000 AC NO NO <br /> <br />TYPE: ON-SITE SENAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />KROHN, MARLONE <br />SAME <br /> <br />PHONE: 74g-2721 <br /> <br />12038 <br /> <br />WATER SJJPPLY: <br />TE~T HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINE~: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROONS: <br /> <br /> ITEM QUANTITY AMOUNT <br />ANNUAL EVAL. - TENP OR HDSHP MH 1 $80.00 <br /> <br /> TOTAL ASSESSED FEES $60.00 <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT $0.00 <br /> <br /> BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: CL TYPE: CHECK <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREHENTS OF ON-SITE SE14AGE SYSTE~ <br />* THIS IS A VALID PERMIT ~ THIS PERMIT EXPIRES 360 DAYS FROM ITS ISSUE DATE+ IF <br />CONSTRUCTION FAILS TO MEET ALL REQUIRE]~TS OF STATE'LA~ AND NARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PERMIT~HALL B'F_C~E NULL ANDVOID. <br /> <br />REMARKS: ~4 HARD~IP AUTH P~5630 /~ <br />DONALD E. ~3ODLEY, ~ARION COUNTY BUILDING OFFICIAL / BY ........~ <br /> <br />FORM ~ MB ~5"5B R~V 6'87 OFFICE COPY <br /> <br /> <br />