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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 H~GH STRF..~:T N6 <br /> SALEM, OREGON 97;301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-'7904 <br /> <br /> I&mareglsteredbuilderOR{ ) the authorized representative <br /> Other <br /> <br /> 0A'rE: 05/12/9¢' ' ..... <br />OWNER: <br /> ADAI~¢~', I~AARK & SALLY <br /> <br />TAX LGT~ ; CATEGORY; <br /> 66952-000 <br />CONSTRUCTION TYPE: ObCUPANCY: <br /> <br />RES 1 BEN'; i Al_ <br /> <br />380 OE'f'ROt'f' RD S <br />OE'f ROI T OR 97342 <br /> <br />~+NAb~i+~: ,!d~i .... b¢CU~ANT LOAD: <br /> <br />MAILING ADDREEEi ~U'B 8'1~1~i~'~: .............. <br /> <br />4~88 CALSON DR SE; ........ <br />SALEN, OR 9780t <br />PHON~: 971-8837 S~'T'B NUNBER.* 92-01598 <br /> VALUAT iON ~ <br /> <br /> 1 10 ' 5E <br /> 102 10S 11118. SF NO NO <br /> <br />105 <br /> <br />TYPE: <br /> <br />PERMIT OR APPLJCA'TION NO: 39573 <br /> <br />CONTRACTOR, NO. 59586 <br /> CANYON <br />P O 8OX 57 <br />S'f'AYTON, 97383 <br />PHONE: ?69-2584 <br /> <br />WATER SUPPLY: PN <br />'r'E~'r HOLES READY: <br />~I'T'E EVALUATION NUNBER: <br />EXI~'f'ING TANK S[Z6: <br />EXISTING BRAIN FIELD LiNESt <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROORS: <br /> <br />I'TE~ QUANTI'f'Y * Ar4OUN'F <br /> TRENCH 1 $210.g0 <br /> <br />PAYE~: <br />RECEIVED BY: CL <br /> <br />TOTAL AS~E~:~.SED FEE~ <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />~210.00 <br />210.00 <br /> $o_oo <br /> <br />BALANCE CUE $0.00 <br /> <br />INVOICE NO: <br /> C~ECK ~: <br /> <br /> TYPE: 0 <br /> SEE ATTACHED DOCUMENT FOR REQU~REmEN'f'S OF ON--~ITE SENAGE SYSTEm. <br /> <br />~ THi~ iS A VALID PEI~JT ~ THIS PERI, iT EXPIRES 860 DAYS FRO~ iTS i,~UE DATE. IF <br />CONSTRUCTiON EAZL~ TO mEET ALLRE(DUIREM~NTS OF ~TATE LAN~ AND MARION CCUNTY BUILDING AND <br />ZONING ORDINANCE~, THI~ PERJflZT ~HALL BECO~NE NULL AND'VOID. <br /> <br />REMARKEr SEePAGE TRENCH ~ ~ <br />DONALD E. NOODLEY, f%ARiQN C'~UNI'Y BUILDING OFFICIAL / BY ......................................................................... ~ <br /> <br />OFFICE COPY <br /> <br /> <br />