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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 />DATE: 11/20/92 TIME: 12:11:08 <br />FAGAN, RICHARO <br />SITUS ADDRE~S~ <br /> <br />' ~AX ~.(~f:' ......... : CATEGORY: <br /> 56~0;~-000 RESI DENT ! AL <br /> <br /> CONSTRUCTION TYPE: : OCCUPANCY: <br /> <br />AUMSVILLE OR 97 2s <br /> <br />SAME <br />769-2885 SITE NUNBER: 92-05029 <br />PHOHE: 749-2841 VALUATION: <br /> <br />SO 8S ,!,W UTF 48 <br /> UNIT <br />  ; IRREO, LOT: CORNER'. <br /> 24.18 'Lr' NO NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERHIT OR APPLICATION NO: 45489 <br /> <br />CONTRACTOR, NO. <br />FAGAN, RICHARD <br />SAME <br />769-2885 <br />PHONE: 749-2841 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: 10-29-92 <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br />AUTHORIZATION NOTICE ~ FLD. VISIT 1 $1~0.00 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$150.00 <br />$1~0.00 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: RECEIPT NO: <br /> RECEIVED BY: P8, TYPE: CHECK ~: 0 <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br />z THIS IS A VALID PERMIT * THIS PERNIT EXPIRES ~60 D&YS FROH ITS ISSUE DATE. IF <br />CONSTRUCTION FALLS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND <br />ZONING OROINANCES, THIS PERMIT SHALL BECOME NULL ANO VOID. <br /> <br />REMARKS: AUTH <br /> <br /> 8UILDIN8 OFFICIAL / 8Y <br />DONALO <br /> E,, <br /> WOODLEY, <br /> MARION <br /> COUNTY <br /> <br />OFFICE COPY <br /> <br /> <br />