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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 />Other <br /> <br />DAIE: 0b/l'?/91 I II'E; 9:11:43 <br /> <br /> MARl ~N, ROBERT <br /> <br /> 954? SrAYrON RB SE <br />AUMSVI LLE OR 9?325 <br /> <br />IMAR I ON COUN ] Y <br /> <br />NO <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br />PHONE,: ?69-3?22 <br /> <br />SECTION <br /> <br />AREA <br /> <br />18 <br /> <br />SUBDIVISION <br /> <br /> SiIE NUI'48 ER: 13108 <br /> VALUA r i ON: <br /> <br />9~ lW <br />AO IP~R EG LOT NO CDR N EPNo <br /> <br />RESI DEN 11AL <br /> <br />MAP <br /> <br /> IYPE: fJN-5I lB SEWAGE <br /> <br />PERMI'I (PR APPLiCAf ION ND: <br /> <br />C'ON f RAC FOR. NO. <br />¢4ARf iN, R(~ER r <br />NAME <br /> <br />PHONE~ ?69-3?22 <br /> <br />32545 <br /> <br />NA1ER ~PPLY: P~ <br />rF. SF HOLES READY: <br />5IIE EVALUAl ION <br /> <br />~I~TING D~iN FIELD LiN~: <br />SEP[iC f'~K PU~PEO= <br />PRbVI~5 NO. <br /> <br />PAYEE t <br />RECeiVED BY: c'12 <br /> <br />BALANCE 0UE; $(2-00 <br /> <br />RECEiPf NO; <br /> C'~ ECK ~: <br /> <br /> ?' YPE: U <br /> SEE AI [ACH,CB OfJCUr, IENr FOR REqUiRF.'~IF..N'TS OF ON-[SIIE SEWAGE SYS~'EIvI. <br /> <br />* THiS /S A VALID PERilflZT * THiS PER,lIT EXP[RE~ 868 DAYS FROIvI ITS [~IJE DATE. IF <br />CONSTRUCTION FAI!..~ TO MEET ALL RE;QUIREI~EN'I~ OF .~TATE ~ AND tflARJ. ON COJNTY BUJ[LI:).[NG AND <br />ZONING ORDINANCF_.~. THIS PER~.[T ,~-IALL BECOI~IE NULL ANO VOIB. <br /> <br />R~RKS: SEPtic REPAIR R~5506 /"~ <br />DONALD E. NOOBLEY, f4ARION COUNIY BUiLDiNG OFFICIAL / BY ....~ <br /> <br />FORM # MC 1556 REV 4/~0 OFFICE COPY <br /> <br /> <br />