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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 />1 am performing work on ~ property I own or occupy, <br />l am a registered builder OR ( ) the authorized representative <br />of a registered builder, <br />The work will be performed by a registered builder. <br />Other_ <br /> <br />DATE.;.10/08/88 <br /> <br /> BAA'NARD, J~M <br /> <br /> 7582 8ISHOP RD <br />: AUMSVI LLE <br /> <br /> RESIDEN~IAL"i <br /> CONSTRUCTION TYPE; iOCCUPANOY; <br /> <br /> SE CONT~^C~ C~W: i"6~'i <br />OR 97325 MARION.COUN~ NO <br /> <br />SUBDIVISION; <br /> <br /> SANDY COULTER: REALTOR <br /> 615 CO~t~lL NE SALEN 97301 <br /> PHONE: 264-9596 STTE NUMBER: 5633 <br /> VALUATION: <br /> <br /> , , RANGE: I ZONE: <br />;LOT; ]~LOCKi !SECTIONI TOWNSHIP: .......................................................... i 'f~~ <br /> i 80 88 lW i SA ~ 48 <br />'~viD~l-i: :DEf~H: i AREA'. : UNITS: IRREG. LOT; i CORNER: <br />.......... J :00900 AC ,NO,, _,,j `N,9 ............................................. <br /> <br />TYPE: ON-SITE SENAGE <br /> <br />PERMIT OR APPLICATION NO: 11546 <br /> <br />CONTRACTOR, NO. <br />BARNARD, JIM <br />SANDY COOLTER: REALTOR <br />61~ COr~IL NE SALEM 97301 <br />PHONE= 364-9596 <br /> <br />WATER,SUPPLY: <br />TEST HOLES READY: <br />SITE ~'ALUATION NUMBER: <br />EXISTING TANK $IZE~ <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: 9-26-88 <br />pREVICX,JS NO, 8EDROOMS~ <br /> <br /> ITEJVl <br />EXISTING SYSTEM EVAL. RPT. <br /> <br />~UANTITY <br /> 1 <br /> <br />ANOUNT <br /> $100.00 <br /> <br /> TOTAL A.%~ED FEES $100. O0 <br /> PREVIOUS, RECEIPTS,. $100.00 <br /> THIS RECEIPT $0.00 <br /> <br />PAYEE: :: REOEIPT NO: <br /> TYPE:,: i, CHECK <br />SEE ATTACHED DOCUMENT FOR REQU:IRENENTS OF ON-SITE SENA~;E S"Y~TEM, <br /> <br />OON~TRLICT[ON FAILS TO MEET;ALL RF_.qtJ"i':RI~AENTS OF' :~-"TATE::~ AND .;I~ION COUNTY 8UlrLDTN6 AND <br />ZONING ORDINANCES, THIS PERNIT SHALL BECOME NULL ANB: <br /> <br />REMARK, S; LOAN R~5093 <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL. / BY ...... <br /> <br /> OFFICE COPY <br />FORM ¢, MC15-56 REV ~/87 <br /> <br /> <br />