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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 />DATE: 12/02/91 'riME: 15: 28:3t <br /> ~U'I'LER, DAVID <br /> <br /> 9978 S'fAYTON ROAD SE <br />AUI~SViLLE OR 97325 <br /> <br />USE OF BUILDING: <br /> <br />MARION COUNTY NO <br /> <br />OATEGORY: <br /> RESi DENT IAL <br /> <br />OCCUPANCY: <br /> <br />OOCU PAN'I LOAD. <br /> <br /> NO OF 8EDROOM$ <br /> <br />I/¢3RK 769-5503 <br />PHONE: ?69-?822 <br /> <br />tO'( : ~ILOCK: ' ,, SECT ON TOWNSNfP <br />18 <br />WIDTH :DEPTH' AREA; uNITS'. <br /> 127. <br /> <br /> ~iTE NUI',IBER: 14869 <br /> VALUATION: <br /> <br />95 1N EEU <br /> RREG LOT ;ORN~R' <br />AC YE~ NO <br /> <br />MAP: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />0ONrRAc'roR, NO. <br />BUTLER, DAVlO <br /> <br />~ORK ?69-5503 <br />F14ONE: 769-?822 <br /> <br />~%TER ,~JPPLY: PW <br />TF..'~'F HOLE3S READY: <br />SiTE EVALUATION NUMBER: <br /> <br />~tSTING D~iN FIELD LIN~: <br />SEPTIC 'f~K <br />PREVI~S NO. 8EO~: <br /> <br />iT~",I ~JANTi'FY AJvlOUN'f' <br />REPAIR -fClAJOR 1 $85.09 <br /> <br />TO'rALAC~'~EO FEE~ <br />PREVIC~JSRECEiPTS <br />THiS RECEIPT <br /> <br />$85.00 <br />$85.00 <br /> $o.oo <br /> <br />BALANCE DUE $0,00 <br /> <br /> ]~t~,~ RECE~P'r NO: <br />PAYEE: BY- MB TYPE: CHECK ~: 0 <br />.......RECEiVED,~, ~ . - ~"F" ............ =:=~:'"'~::~'~;;;;-=:::~":'~:-.- .-~--~ <br />SEE A'I'I'AOHED DOCUMENT P~R R~IR~T5 OF ~-SlTE SSW~E SYSI'~. <br /> <br />:~ THiS IS A VALID P~IT ~ THIS P~IT BPI~ 360 ~ F~ ITS I~E DATE. IF <br /> <br />CONSTRUCTION FAiL~ TO MEET ALL REQU1RIE4ENTS DP STATE LA~ISAND~ARION COUNTY 8UILDiNGANO <br />ZONING ORDINANCES, THI~ PER~IT ,~¢_L BECE~E NULL AND VOID. <br /> <br />REMARKS: REPAIR R-3918 NEN HOUSE & SEPTIC REPL..~;ING ~XISl'iNG <br /> <br />DONALD E+ WOODLE7, ~RION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICECOPY <br />FORM # MD 15-56 R~. <br /> <br /> <br />