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MARION COUNTY BUILDING INSPECTION <br />SENATOR E~LDG. NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-514-7 <br />CODE-A-PHONE 4:30 PM. - 8:00 A,M, <br /> <br />t 8m performing work on aproperty I own or occupy. <br />I am a registered bgllder OR ( ) the autl~odZed representative <br />of a registerod builder <br />Ti~O work w{{I be performed by a reCs~ered bIJilder. <br />Other <br /> <br />S[GNATgRE OF APPLICANT; .... <br /> <br /> DATE: <br /> <br />°W~TE: 10/18/'89 TIHE: 9:46tS0a <br />sn-us AD[~R~ssSEN EY, STEVE <br /> <br />'(AX LOT: CATEGORY: <br />CONST~U¢0ON T'/P~ OCCU~.~NC'/ RESIDENTIAL <br /> <br /> CONTRACT CITY: UGS; OCCUPANT LOAD: <br />7243 SHAW HWY SE <br />AU~VILLE OR 97325 <br />USSOFRUILDING: t4ARION COUNTY NO NO.O~eSCROOMS: <br /> <br />3 <br /> <br /> P.O. 80X 290 / REX LUCAS <br /> AUMSZLLE, OR 9?325 <br /> PHONE: 749-2576 SITE NUMBER: 8598 <br />LOT: BLOCK: SECTION: TOWNSNIP: SANC~ALUAT~ON 2 ZONe: MAP: <br /> <br />WICTH: DEPTH: AREA: 25 UNITS: 8S IRRSGLOT; 2W CORNEH: RA 51 <br /> 1.80000 AC NO NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 34055 <br />EMERY & SONS CONSTRUCTION, <br />BOX 398 <br />STAYTON, OREGON 9?383 <br />PHONE: <br /> <br /> 19564 <br /> <br />INC. <br /> <br /> ITEM <br />REPAIR - MAJOR <br /> <br />PAYEE: <br />RECEIVED BY: <br /> <br />WATER SUPPLY: ~ <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK S!ZE~ 1~00 <br />EXISTING BRAIN =IELD LINES: <br />SEPTIC -ANK FtJMPED~ 10-89 <br />PREVIOUS NO. 8EDROOIV~: <br /> <br /> QU.N4TITY ,&MOUNT <br /> $80.00 <br /> <br />TOTAL.ASSESSED FEES $80.00 <br />PREVIOUS RECEIPTS $90.00 <br />THIS RECEImT <br /> <br />BALANCE :]LIE $0-00 <br />RECEIPT NO: <br /> <br />SEE ATTACHED DOCUMENT FOR REOUIREIVlENTS OF 'ON-SITE SEWAGE SYSTEM_ <br /> <br />* THIS IS A VALID PERMIT * "r~I~ 'PERMI~ ED(P,IRE~ 360 'D~,,YS FRO~ ITS ISSUE DATE. IF <br />CONSTRUCTION FAILS TO MEET. ALLREQUIRES'flENTS"OF STATE'LAWE~.AND NtARION COUNTY BUILDING AND <br />ZONING ORDINANCE;S, THIS PERI~IITE:~'I~LLB~NULL AND'VOID. <br /> <br />REMARKS: D-BOX/ ORAINFIELD REPAIR R~7854 /~ <br />DONALD E. WOOOLEY, MARION COUNTY BUILDING OFFICIAL, / BY ........................_~ <br /> <br />¢ogM # ~c m-56 HEY .~ae OFFICE COPY <br /> <br /> <br />