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MARION COUNTY BUILDING INSPECTION <br />SE NATOR,-~LDG.*,,N O. 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 />OATE; <br /> <br />11/29/91 <br /> <br />'T' fMC: 11:01:53 <br /> <br />Situs ADOneS~%rX~OpER, EL¢iE <br /> <br />TAX LOT. <br /> <br />CONSTRUCTION TYPE; <br /> <br />170 N E,U'I"['E <br /> <br />OR,:97~42 <br /> DETROIT <br /> <br />NO <br /> <br />CATEGORY; <br /> <br />OCCUPANCY: <br /> <br />RESI DEN~ tAL <br /> <br />: NO OF rCEO/~OOMS2 <br /> <br /> 1 <br /> <br />LOT: BLOCK: <br /> <br /> SiTE NUfC[JER; 14944 <br />SECTION; TOWNSHIP; nAN~'¢ALUAT it~ i< zb~E; <br /> <br />MAP: <br /> <br />WIDTH: <br /> <br />]'00 <br /> <br />AREA: 1 UNITS; 1 0 IRREG, LOT: 5E : CORNER: <br /> <br />TYPE: ON-S..iTE SEWAGE <br /> <br />PERMIT OR APPLIF.~ATIGN NO: <br /> <br />OON'r gAO'fOR, NO_ <br />~PER, E~I~ <br /> <br />IdAI'ER ,SUPPLY: <br />TEST HOLE5 READy: <br />SiTE EVALUATION NUMBER.+ <br />EXISTING 'F~K SIZE: 750 <br />~iSTiNG D~IN F'iELD LJN~: <br /> <br />PREVi~S NO. BED~: <br /> <br />120 <br /> <br /> iTEM <br />REPAIR - MINOR <br />AUI'HORiZATION NOTICE w NO ViSiT <br /> <br />TOTAL ~E.~EO FEE8 <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />(~XJANI'II'Y A.r4OUNT <br />~ $~o.oo <br />t $85.00 <br /> <br />$125.00 <br />$1t0,00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE; COOPER, ELSIE INVOICE NO: 39056 <br />RECEIVED BY: CL TYPE= iN C~ECK ~: 0 <br /> <br /> SEE ATTACHED DOCUMENT FOR RE(~JiREMENI'~ OF ON-SITE SEWA,~E SYSTEM. <br />x~ THiS 1.~ A VALID PER~..f.T ~ THiS PEI~.IT EXPIRE~ 380 DAY8 FROM IT.~ L,SSUE DATE. IF <br />CONSTRUCTION FAILS TO MCr. ET ALL RE~UiRE~IENTS OF STATE LANS AND ~IARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PER~IT ~HALL 8EC~E NULl. AND VOID. <br /> <br />REMARKS: LOAN REPORT / MINOR REPAIR <br /> <br />D'ONALO E. WOODLE~, MARION C~NTY BUiLDiNG OFFICIAL / 8Y <br /> <br />OFFICE OOPY <br /> <br /> <br />