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MARION COUNT'/ <br />, B~JIL'DIN(i INSPE(.'TION <br /> <br />OATE: 03131/89 TIME: <br /> <br />GARC[A, AR~BN{X) <br /> <br />3:35:52p <br /> <br />97325 <br /> <br />¢AAR[ON COUNTY NO <br /> <br />900~ SHAW SQUARE RD <br />AUMSVILLE, OR 9?325 <br />PHONE: 749-1011 <br /> <br />2.00000 <br /> <br /> SITE NUMBER: 6812 <br /> VALUATION: <br /> <br />8S 2W AR3 <br />AC NO NO <br /> <br />$1 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION <br /> <br />CONTRACTOR, NO. <br />GARCIA, ARIvONDO <br />9003 SHAW SQUARE RD <br />AUMSVILLE, OR 9?325 <br />PHONE: 749-1011 <br /> <br />14528 <br /> <br />WATER SUPPLY: F~ <br />TEST HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br />SE < 8 MONTHS OLO 1 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />TH~S RECEIPT <br /> <br />$110_00 <br />$110.00 <br /> $0.00 <br /> <br />BALANCE 0UE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br /> <br />RECEIVED BY: DR ............................... TYPE: CHECK g: <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SZTE SEWAGE SYSTEM. <br /> <br />* THIS IS A VALID PERf4IT * THIS PER,lIT EXPIRE~ ~00 DAYS FRO~ ITS ISSUE BATE. IF <br />CONSTRUCTION FAILS TO I~IEET ALL REQUIREMENTS OF STATE LA~8 AND I~ARION COJNTY [BUILDING AND <br />ZONING ORDINANCES. THIS PERfAIT SHALL BECCfAE NULL AND VOID. <br /> <br />REMARKS: SS R~5555 <br /> <br />DONALD E. ~OOOLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> <br />