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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:S0 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other <br /> <br /> OATE: 08/10/92 TIHE: 8:25:23 <br /> ~AX Lbf~ <br /> SCHMID, THOMAS <br /> <br /> 7490 SNERHAN RD SE <br /> AUHSViLLE OR 97:~25 ~-~ C~T~lUNT Y i ~I : OCCUr'ANT LOAD: <br /> <br /> ~UMSVILLE <br /> <br />LOT: <br /> <br />WIDTH: <br /> <br />29 88 ; 1W ; RA , 48 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMit OR APPLICATION <br /> <br />CONTRACTOR, <br />SCHMID, THOMAS <br />7496 SHERMAN RD <br />AUHSVILLE 97S25 <br />PHONE: 749-100~ <br /> <br />4~590 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: 1000 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: GIVEN FORH <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br /> AUTHORIZATION NOTICE - FLQ. VISIT i $1S0.00 <br /> <br /> TOTAL ASSESSED FEES $150.00 <br /> PREVIOUS RECEIPTS $130.00 <br /> THIS RECEIPT $0~00 <br /> <br /> BALANCE OUR $0.00 <br /> <br /> PAYEE; ~^~ ~ RECEIPT NO~ <br /> RECEIVED BY: mb 3~.~k.~-'~ ....... TYPE: CHECK ~; 0 <br /> <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />~ THIS IS A VALID PERMIT ~ THIS PERMIT EXPIRES 560 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS ANO MARION COUNTY BUILOING AND <br />ZONING OROINANCES, THIS PERMIT SHALL BECOME NULL ANO VOID. <br /> <br />REMARKS: AUTH ,- FIELD DHECK <br /> <br />DONALO E. WOOOLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFtCE COPY <br />FORM # MC 15-56 REV, 4/9o <br /> <br /> <br />