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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 /> The work wilt be performed by a registered builder. <br /> <br /> DATE: ].J, 10~../gS TI~E~ 1~,,...8,,~ <br />ow~, ~d~[,~CE PACKIN~ COHF'ANY (BRUCE PACK) ¢~-888 ¢~(~40IAI,.. ~ <br /> <br /> 12264 S,[t.,VEE FALLS HWY SE <br /> <br /> : MEAT PROCESSINI; PI_AMT <br /> SA~E ! ~ <br /> <br /> PHONE: 7~9-2~.37 [ VALUATION: <br /> <br />TYPE: ON-SITE SEWAI;E <br /> <br />PERMIT OR APPLIEATIOM NO: <br /> <br />CONTRAC'~OR~ NO. ~6949 <br /> AAA SEETIC SERVICE <br />F'O BOX 2~81:l <br /> <br />PHONE= 378,-74~4 <br /> <br />WATER SUPPLY <br />TEST HOLES READY: , <br />SITE EVALUATION NUHB£R: <br />EXI:$T]:fl6 TANK S~ZE: <br />EXISTINI; DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS fiB. BEDROOMS: <br /> <br /> ITF. H DUAMTI'IiY AMOUNT <br /> ADDITIONAL SUBSURFACE FEES $2'-%00 <br /> <br /> TOTAL ASSESSED FEES $25.00 <br /> PREVIOUS ~ECEIPTS $8,, <br /> THIS RECEIPT <br /> <br /> BALANCE DUE ¢8,, <br /> <br /> PAYEE: AAA SEPT:KC SERVICE RECEIP~ N <br /> RECEIVED BY: CL TYPE: <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br /> ~ THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 368 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION FA]:LS TO MEET ALL REDU~RE~EHTS OF STATE LAWS AND MARION COUNTY BUILDING AND <br />ZONING ORDII,tANCES~ THIS PERMIT SHALL BECOME NULL AND VOID,, <br /> <br />REMARKS: REINSF'ECT FEE FOR 49710 ~,~ n <br />DONALO E. WOODf..EY~ ~ARION COUNTY' BOtLDIN6 OFFICIAL / BY _ ....... ~ : ................................................ <br /> <br />FORM # MC 15,56 REV, 4/80 OF FiCE COPY <br /> <br /> <br />