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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 /> of a registered builder. <br /> <br /> Other <br /> <br />0A'[E:. 04/~0/92 TIME:1"2;4~.35'"" <br /> NEWELL PETER <br />AdO~SS: <br /> <br />TAX LOT: CATEGORY: <br /> 70480-020 <br />OONSYRUOTION TYPE; iOCCUPANC¥: <br /> <br />RES i DEN f 1 A~ <br /> <br /> 8855 JEANNE CT SE <br /> AUC4SV f LLE OR 97325 <br /> I"tABJ; ON...CDUN[Y <br />USE OF ~UILDIN~'. NO OF 8E~R00M$ <br /> <br /> CASCADE PARK NO <br /> 4766 HORSESHOE C'f .............. <br /> SALEM, OR 97301 378~3945 NORK <br /> PHONE: 363-7343 SJ;'f'E NU~ER: 92-01465 <br />' VALUAT i ~: <br /> <br /> 11 1 ' <br /> 13 8S 2W , RA- <br />WIB~ ~DEPTN: , AREA; - UN[TS; I~E~. LEf~ ..... ~b~N~R; <br /> : 5.03 , AC , NO NO <br /> <br /> 'T'YPE~ ON~SI'fE SEWAGE ~A'FER ~PPLY: ~ <br /> <br />PERNi'f' OR APPLICA'FJION NO: 37164 <br /> <br />CONTRACTOR, NO. <br />NE~ELL PETER <br />4'166 HORSESHOE CT <br />SALEM, OR 97501 378~3945 WORK <br />PHONE: $63-7343 <br /> <br />TEST HOLES REABY; YES <br />SITE EVALUATION NUMBER: <br />EXISTING TANK <br /> <br />SEPTIC TANK PUMPED: <br />PRE¥IOUS NO. <br /> <br /> I'I'EM <br />STANDARD ON-SiTE SYS'f'EN <br /> <br />PAYEE; <br /> <br />TOTAL ASS~ED FEES <br />PRE¥i(~S RECEIPTS <br />THiS RECEIPT <br /> <br />QUANI'iTY A~OUN'f <br /> <br />$170.00 <br />1 ?0.00 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIPT NO: <br /> RECEIVED BY: C'] TYPE: C~ECK ~: 0 <br /> SEE ATTACHED BOCU~EN'f' FOR RECtJ1REMENTS OF ON-SJTE SEWAGE <br /> <br />* THIS tS A VALID PEI;~IIT * THIS PEI;~IIT EXPIRES 360 DAYS FRO~I iTS iSEAJE DATE. IF <br />CONSTRUCTION FAIL~ TO MEET ALL REQLIiRE~ENTS O~ STATE LAA~ AND r, IARiON COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PE~'eIIT SHALL BECO~IE NULL AND VOID. <br /> <br />REMARKS: PERCc]i'I' ~ <br />DONALD E. WOODLEY, MARION COUN'I'Y BUiLDiNG OP'FiCIAL / BY .................................................................................... <br /> <br /> OFFiCECOPY <br />FORM ~ MC 15-56 R~V, 4/90 <br /> <br /> <br />