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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 8:00 - 4::30 <br />24 HOUR CODE-A-PHONE:; 588-7904 <br /> <br />of a registered builder <br />The work will bo performed bY a registered builder <br />Othor. <br /> <br />OAY'E'- 12/1:~/90 I-[ME'- 1'5;00:51 <br /> <br /> NEK. UDA, R/'~NDY & ANNA <br /> <br /> DATE <br /> <br />TAX LO1 <br /> <br /> 893? SILVER PALLS HWY <br />AU~SViLLk OR <br /> <br />97325 <br /> <br />SE <br /> <br /> CONTRACT CiTY <br /> <br />MAR'r ON CC)UN Y Y <br /> <br />: UGB <br /> <br />MAILING ADDRESS <br /> <br />SUBDIVISION <br /> <br />894? SILVER PALLS HNY SE <br />Aur4~VILLE 97325 <br />~fiONE: 364w4508 <br /> <br />WIDTH DEPTH <br /> <br />0.05 <br /> <br /> Bile NU~ER: <br /> VALUATION: <br /> <br />AC <br /> <br />NO <br /> <br />CATEGORY <br /> RESIC)kNfiAL <br /> <br />OCCUPANCY <br /> <br />OCCUPANI LOAD <br /> <br /> 11818 <br /> <br /> ARS 4.9 <br />YES <br /> <br />TYPE: ON-5i IE BEKtAGE <br /> <br />PlgRMl~ OR APF~LICA]iON NO; 29522 <br /> <br />C~'f RAC FOR, NO. <br />NEKUDA, RANDY & ANNA <br />894? 51LVgR ?ALL_S HWY <br />AUMSV i LLE 9?325 <br />PHONE: 364,~4,50(? <br /> <br />WAIER SUPPLY: ~ <br /> HOLES READY: <br /> EYALUAIiON NUIV~ER: <br /> E~1Sf'iNG TANK SIZE; <br /> BXiSfiNG DR. AIN FIELD LINES: <br /> SEPTIC FANK PUMPED: <br /> PRE¥~OUS NO. BEDROON~: <br /> <br /> i'T~M (¢UAN'ftrY AMOUNT <br /> REF~iR - MAJOR 1 $80.00 <br /> <br /> FOfAL ~ED PEES <br /> PREVIOUS RECEIPTS $80.00 <br /> IHI$ RECEIPT $0.00 <br /> <br /> BALANCE DU~ <br /> <br /> PAYEE! REOEIP[ NO: <br /> RkCEIVE£) BY: CI TYPE: CHE~K <br /> <br /> SE? Af~ACI'IEL) DOCUmENt FOR REQUIREMENFs OF ON-SiTE SENAGE <br /> <br />* THIS iS A VALID PEF~IIT * THiS PERMIT EXPIRE~ 360 DAYS FROM iTS IS.SUE <br />CON~'rRUC]ION ~AIL$ TO MEET ALL REQUIREMENTS OF STATE ~ AND ~IARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THI~ PE~iT 15HALL BECOI~E NULL ANB VOID. <br /> <br />RE/~ARKS: MAJOR REPAIR - TANK. & DNAiNLiNES R~4.687 i'~ ~ <br />DONALD E. NOODL~Y,. IV~ARION COUNI'Y ~UZLDiNG OPPZCIAL / ~Y ......... ~ <br /> <br />OFFICE COPY <br /> <br /> <br />