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MARION COUNTY <br /> BI-JILl)lNG INSPECTION <br /> <br />DATE~ 11/18/88 TIME: <br /> <br /> DETROIT STATE PARK <br /> <br />RESIDENTIAL <br /> <br /> 47 MILE POST. NO SANTIAN HWY SE <br />DETROIT OR 97342 <br /> <br />MARION COUNTY <br /> <br />NO <br /> <br />20024 SILVER FALLS HNY SE <br />SU8LIMITY OR 97385 <br />PHONE: 873-8681 <br /> <br />SITE NUMBER: <br /> VALUATION= <br /> <br />5943 <br /> <br /> 3 10 5E <br />104.000 AC NO <br /> <br />NO <br /> <br />TYPE; ON-SITE SEWAGE <br /> <br />PER$4IT OR APPLICATION NO: 12497 <br /> <br />CONTRACTOR, NO. <br />DETROIT STATE PARK <br />20024 SILVER FALLS HNY SE <br />SUBLIMITY OR 9?385 <br />PHONE; 873-8681 <br /> <br />WATER SUPPLY: <br />TEST HOLES READY: <br />SITE EVALUATION NUNBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. <br /> <br /> ITEM QUANTITY <br />GRAY WATER DISPSL SUMP 1 <br /> <br /> TOTAL A,.~ES~ED FEES <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br />PAYEE; <br />RECEIVED <br /> <br />BALANCE DUE <br /> <br /> AMOUNT <br /> $85.00 <br /> <br /> $85_00 <br /> 85.00 <br /> $0.00 <br /> $0.00 <br /> <br />RECEIPT NOt <br /> CHECK ~: <br /> <br /> TYPE: <br /> <br />SEE ATTACHE0 DOCUMENT FOR RE(~JIRB~ENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />· THIS IS A VALID PERNIT ~ THIS PERMIT EXPIRES 380 DAYS FRON ITS ISSUE DATE. IF <br />CONSTRUCTION FAILS TO MEET ALL REQUIRE~4ENTS OF STATE LANS AND NARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PERMIT ,SHALL BECONE NULL AND VOID. <br /> <br />REIt4ARKS*. 18 GRAY WATER SITES R:~5891 FOR ONE CHARGE,ONE INSPECTION <br /> <br />DONALD E. WOODLEY, MARION CX]UNTY BUILDING OFFICIAL / BY ......................... <br /> <br /> <br />