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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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 /> OAf E: 09/20191 <br />OWNFR <br /> <br /> 80CCI CNRi~ T OF'HER <br /> <br />14:05:05 <br /> <br />TAX LOT CATEGORY <br />CONSTRUCTION TYPE OCCLIPANCY <br /> <br />R~ i L)~.N l 1AL <br /> <br /> 10547 ¢IAYFC,.'N RD <br />AUIVfSVi LLE OR 9?'383 <br /> <br />CONTRACt CITY i UGB <br />~ARION COUNTY NO <br /> <br />3 <br /> <br />PHONE: <br /> <br />WIDTH <br /> <br />363-9158 <br /> <br /> 12 9S <br /> 1.19 AG <br /> <br />SiFE NUMBER: 13960 <br />VALUA f t ON: <br />RANGE ZONE <br /> <br /> 2W EPU <br /> NO NO <br /> <br />MAP <br /> <br /> 62 <br /> <br />TYPE: ON-5i IE SEWAGE <br /> <br />PERf~il OR APPLICAI ION NO: <br /> <br />CON FRAC fOR, NO. <br />BOOCI CHRIS [O~HER <br />5AC4E <br /> <br />PHONE: 363-9158 <br /> <br />34818 <br /> <br />WATER ,,~LIPPLY: <br />FF;~Sr HOL¢.S READY: <br />SIIE EVALUATIDN NUt, lEER: <br />ENISFiN6 tANK 5iZE: lOOO <br />~iSf~NG DRAIN FIELD LINES: <br />~PTiC <br />PRiVIeS NO. <br /> <br />290 <br /> <br /> iIEM <br />REPAIR - MINOR <br /> <br />TOTAL A~SED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEiPI <br /> <br /> RAY~E: I/']. RECEIP1 NO: <br /> RECEIVED BY: c'I ~],,~[ ................................................ 'TYPE: C~CK ~: 0 <br /> <br /> 5EL Af fAGgED DOCtJNEN¥ FOR RE(~UiRFJ~EN'r8 OF ~-SiFE SE~GE <br /> <br />~ THiS iS A VALID PE~IT $ THIS PE~IT ~PIR~ 360 ~YS F~ ITS l~g ~T6. iF <br />~TBCfI~ FAI~ TO ~T ALL R~IR~T8 OF STATE ~ <br />Z~JN8 OROIN~6~, THIS PBIT SALL BEdE NULL~D <br /> <br />REMARKS: REPLACE TANK R-5988 ~SEPrIc 'rANK REPLACEmENt ONLY <br /> <br />L~NALO E. WOODLEY. MARION COUNIY BULLRING OFPiCJAL / BY <br /> <br />FORM # MC 1~-~6RE¥ 4~go OFFICE COPY <br /> <br /> <br />