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MARION COg, NTY~UILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:S0 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />DATE: 09/04/92 TIME: 16:48:09 <br /> <br /> 320 SANT'[Afl AVE <br /> DETROIT OR <br /> <br /> i 0C~UPAN~Y: <br />97342 I ~I~,J~[I"~;ITY: [J~: :; OCCUPANT LOADz <br /> <br />USE OF BUlLDLN_GL <br /> <br /> i HAMMOND DIVISION TO DETROIT <br /> i~200 IRON MT BLVD <br /> PORTLAND OR 97219 SITE NUMBER: 92~02443 <br /> PHONE: 655-7905 i VALUATION: <br /> <br />23 9 <br />I'IWIDTM: 50 ,iDEPTN; 1~8 Il AREA:6900, ,~ UNIT~F ;~, LOT; jOO~R: <br /> <br />TYPE: ON-SITE SENAGE <br /> <br />PERH]T OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />STRA$SHOFER, JIH & PIPER <br />13200 IRON HT BLYD <br />PORTLAND OR 97219 <br />PHONE: 655-7905 <br /> <br />40997 <br /> <br />WATER SUPPLY: C~ <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. SEDROOHS: 2 <br /> <br /> ITEM QUANTITY AMOUNT <br /> REPAIR - MAJOR 1 $105.00 <br /> AUTHORIZATION NOTICE - NO VISIT 1 $80.00 <br /> <br /> TOTAL ASSESSED FEES $185.00 <br /> PREVIOUS RECEIPTS $185.00 <br /> '~ THIS RECEIPT <br /> <br /> BALANCE DUE $0.00 <br /> <br /> PAYEE: INVOICE NO: <br /> RECEIVED BY: OM2 ................... TYPE: CHECK ~: 0 <br /> <br /> SEE ATTAOHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />* THIS IS A VALID PERHiT · THIS PERHIT EXPIRES ~60 D~¥S FROM ITS ISSUE DATE. IF <br />CONSTRUCTION FAILS TO MEET ALL REgUIREHENTS OF STATE LAWS AND MARION COUNTY BUILDING AND <br />ZONING ORDINANOES, THIS PERMIT SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: AUTH/ major repair , LIMITED TO 2 BEDRfl <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDINQ OFFICIAL <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV, 4/~Jo <br /> <br /> <br />