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MARION COUNTY BUILDING INSPECTION <br />SENATOR 13LDG NC) 225 <br />220 .'~IGH $~¢REET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 430 PM - 800 AM <br /> <br />Otl~or <br /> <br /> 02/15/89 TINE: <br />s,u~,ur, N~TH, CHARLIE <br /> <br />4:27t45p <br /> <br />RESIDENTIAL <br /> <br /> CONTRACT CITY UG6 OCCUPANT LOAD <br />629? 81ST AVE SE <br />AUMSVILL£ OR 97325 <br />USSO~SUI~ING MARION COUNTY NO NO OFBEDROOMR <br /> <br />S~E <br /> <br />PHONE; 749-5113 <br /> <br /> SITE NUr48ER: 6396 <br />SECTION TOWNSHIP ~¢~tJATiON: ZONE M*~ <br /> <br />A~e* 23 UNif'S 8S IRREGLOT 2W COHN~H AR 51 <br /> ?.00000 AC NO NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERNIT OR APPLICATION NO; <br /> <br />CONTRACTOR, NO. <br />LEETH, CHARLIE <br />SAME <br /> <br />PHONE: 749-5113 <br /> <br />13639 <br /> <br />WATER SUPPLY; PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />~EPTIC TANK PU~PED: <br />PREVIOUS NO. BEDROONS: 1 <br /> <br /> ITEM <br />AUTHORIZATION NOTICE - FLD. VISIT <br /> <br />TOTAL A~SEESED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />PAYEE; <br />RECEIVED BY: PR TYPE: <br /> <br /> QUANTITY At4OUNT <br /> 1 $105.00 <br /> <br /> $105_0~ <br /> $105.00 <br /> $0.00 <br /> <br /> $0.00 <br /> <br />RECEIPT NO: <br /> CHECK ~.+ <br /> <br />SEE ATTACHED DOOuNENT FOR REQUIRENENTS OF ON-SITE SP'2NAGE SYSTEM. <br /> <br />* THIS IS AVALID PER'lIT ~ THIS PERI'lIT EXPIR~ 3BO DA~ FRC~4 ITS I~SUE DATE. IF <br />CONSTRUCTION FAILS TO MEET ALL REOUIRE~IENT$ OF STATE LAH~ AND ~4ARION CCUNTY BUILDING AND <br />ZONING ORDINANCES. THIS PERMIT ~HALL BEC~E NULL AND VOID. <br /> <br />REMARKS: AUTH R~6730 <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />