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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 PM, - 800 AM, <br /> <br /> I am perfolmimg work o,~, a property I own or oooup~ <br /> <br />DATE: 11/09/88 TIME~ 4:52:5412 <br /> <br /> FOWLER, DWIGHT <br /> <br /> 8836 OARLE¥ RD SE <br />AUMSVILLE OR 97825 <br /> <br />MARION COUNTY NO <br /> <br />SAME <br /> <br />PHONE: 749-1438 <br /> <br /> ] 4 <br /> <br /> 3.00000 <br /> <br /> SITE NUMBER: 5889 <br /> VALUATION: <br /> <br />9S 2W EFU <br />AC NO NO <br /> <br />82 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO,, <br />FOWLER, DWIGHT <br />SAME <br /> <br />PHONE: 749-1438 <br /> <br />12227 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SiTE EVALUATION NUMBER: <br />EXISTING T~IK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: WAIVED PER BOB <br />PREVIOUS NO. BEDROOMS: <br /> <br /> I-rEM QUANT I?,Y ~MOJN ? <br />ANNUAL EVAL. - TEMP OR HDSHP MH $60_00 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS R£CEZPT <br /> <br />$80,,00 <br /> 80,00 <br /> $0.00 <br /> <br />SAUCE DUE $0,00 <br /> <br />PAYEEt RECEIPT NO: <br /> <br />RECEIVED BY: CL .................... - ~ TYPE: CHECK ~: <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMF--.NTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />~ THIS IS A VALID PERMIT ~ THIS PERMIT EXPIRE~ 360 DAY~ FROM ITS ISSUE DATE. IF <br />CONGTI:~UCTION FAIL.S TO MEET ALL _R~..(~JIREMENTS OF STATE LAWS AND I~&.RION COUNTY BUILDING AND <br />ZONING ORDINANOES, THIS PERMIT.SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: HRDSH~ ANNUAL SEP,, EVAL R~5279 ~ <br />,DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY .........................~ <br /> <br /> <br />