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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />820 HIGH STREET NE <br /> SALEM, OREGON 97801 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 8::00 A M <br /> <br />°w~'TE: ]0/12/89 TIME: 4:18:09p <br /> <br />S~TU.;^DoR:,..sDOOLiND FRED & BARSAP, A <br /> <br /> 11937 CAUSEY LANE <br />AU~SVILLE OR 97325 <br /> <br />SE <br /> <br /> CONSTRUCTION TYPE <br /> <br />iv~RI ON COUNTY <br /> <br />NO <br /> <br /> RES][ DENT I AL <br />OCCUPANC'~ <br /> <br /> 3 <br /> <br />CONTACT PER~ON BOBBIE JORDE <br />REAL ESTATE PROF PH~37]-3018 <br />PHONE: N/A <br /> <br /> 33 UNITS <br /> <br />1 .77000 <br /> <br />SITE NUMBER: 8500 <br />.ANG~/ALUATION: ZONE MA~ <br /> <br />8S ~R~ LOT 1W CO~N~'~ AR <br />AC I'40 NO <br /> <br />49 <br /> <br />TYPE; ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 19306 <br /> <br />CONT~,~CTOR, NO, <br />DOOLIND, FRED & BARBARA <br />C(~TACT PERSON BOBBiE JORBE <br />REAL ESTATE PR'OF PH~371-3013 <br />PHONE; N/A <br /> <br />WATER SUPPLY: P~ <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: 9-29-89 <br />PREVIOUS NO. BEDROOMS= <br /> <br /> ITEM QUANTITY ANE~UNT <br />EXISTINGSYSTEM EVAL, RPT. 1 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$100.00 <br />$100.00 <br /> $0_00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: CL TYPE: CHECK <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />* THIS IS A VALID PERI'lIT ~ THIS PEF~I~T EXPIRE~ $60 DAYS FROM ITS IS,SUE DATE. IF <br />CONSTRUCTION FAILS TO NEET ALL REQUIREMENTS OF STATE LANE AND NARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PERMIT SHALL BEOONE NULL ANB VOID. <br /> <br />REMARKS,, SEPTIC EVAL - LOAN R~2388 ~ <br />DONALD E, WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY .........................~ <br /> <br /> <br />