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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 800 - 4'30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />BARE.* 01/22/91 rIME: g:42:45 <br /> <br /> DAVl E~c~N, J~HN <br /> <br />OATE <br /> <br /> 12054 wE~r SrAYrON RD <br />AU~V 1LLE OR <br /> <br />9?325 <br /> <br />SE <br /> <br />CONTRACT CITY UG8 <br />I~AR] ON COUNTY NO <br /> <br />PRIORY DWELLING Al 11679 IvlCCLELLAN <br />PHONE: <br /> <br />LC)T 8LOCK SECTION TOWNSHIP <br />13. <br /> <br />Si1E NUMBER: <br /> VALUATION: <br /> <br />RANGE <br /> <br />IRREG LOT <br /> NO <br /> <br />CATEGORY RBSiDENI iAL <br />OCCUPANCY <br /> <br />OCCUPANf LOAD <br /> <br /> 3 <br /> <br /> 12033 <br /> <br />ZONE MAP <br /> EFU 62. <br />CORNE~0 <br /> <br />tYPE: Om-sirE SEWAGE <br /> <br />PE~ir OR APPLiCATiON NO: 29602 <br /> <br />CONTRACTOR, NO. <br />DAVI DSON, JOHN <br />SAME <br />PRIMARY [~ELLING A1 11679 MCCLE <br />PHON~: 789-7449 <br /> <br />WATER ,SUPPLY: <br />TI~S1 HOLES READY; <br />SITE ~VALUA'rioN NUIV~ER: <br />EXISTING T~C4K SiZe: 1000 <br />~iSrlNG D~iN FIELD LINES: <br />SEPTIC l'~K ~MPED: <br />PRE~i~ NO. <br /> <br /> ITEM <br />REPAIR - ~INOR <br />AUTHORIZAIiON NO'I/CE - P'LD. VISIT <br /> <br />'fO"fAL ~EO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPr <br /> <br />BALANCE OUE <br /> <br />PAYEE: <br />RE~JEIVED BY: PB TYPE= <br /> <br /> ~t.,¥*~'~TiTY <br /> ~ $55.00 <br /> I $105.00 <br /> <br /> ~180.00 <br /> 160.00 <br /> $o <br /> <br /> $0.o0 <br /> <br />RECEIPT NO: <br />O~ECK ~: O <br /> <br /> SEE AllACHED 0OCUMENI FOR REn~)UIREMENI'S OF ON-SITE SEnA~AGE SY~TEN+ <br /> <br /> * THiS IS A VALID PERIe11T ~ THIS PER'liT EXPIRES 360 DAYS FRO~I ITS IS,..~{JE DATE. IF <br /> <br />ZONING ORDINANCB, THIS PERMIT NULL N~IO VOID. <br /> <br />REfqARKS~ .Z~1JIH & MINOR REPAIR R~3108 & 2127 <br />DONALD E. I,,,~OOLEY, IVlARION COUNTY BUILDING OFFICIAL / 8Y ........................................... <br /> <br />FOnM ~ MC 15-56 REV 4~90 OF F ICE COPY <br /> <br /> <br />