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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: B88-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other. <br /> <br />I hsve read 8nd agree to the terms stated on the reverse side of <br />this document, <br /> <br /> 0AYE: 01/1~/93 TI~E: 12:~6;26 <br />OWNER; TAX LO¥i C~TEG~RY; <br /> OAHLE~ ELDEN O. & SHARON RESIDENTIAL <br />SITUS AODRES$; CONSTRUCTION TYPE: OCCUPANCY: <br /> <br /> 10908 SIMPSON ROAD <br />AUMSVILLE <br /> <br /> SE i~NT~A~fCi~: <br />OR 97325 , HRRION COUNTY; NO <br /> <br />~CCUPANT LOAD; <br /> <br />PHONE: 393-7734 <br /> <br />SITE NUHBER: g~-00159 <br />VALUATION: <br /> <br />,LOT; 8LOCK: <br /> <br />20 8S 1u EE~ 48 <br /> 46. ~ AC YES NO <br /> <br />TYPE: OM-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />DAHLE, ELDEN O. & SHARON <br /> <br />PHONE: 393-7754 <br /> <br />44467 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUNBER: 852~ <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUNPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEH QUANTITY AMOUNT <br /> STANDARD ON-SITE SYSTEH 1 $210.00 <br /> <br /> TOTAL ASSESSED FEES $2.10.00 <br /> PREVIOUS RECEIPTS $210.00 <br /> THIS RECEIPT $0.00 <br /> <br /> BALANCE DUE $0,00 <br /> PAYEE: RECEIPT NO," <br /> RECEIVED BY: PB TYPE: CHECK ~: 0 <br /> <br /> SEE ATTACHED DOCUMENT FOR REQUIRENENTS OF ON-SITE SEWAGE SYSTEM. <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 AND HARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PERMIT SHALL BECOME NULL AND <br /> <br />REMARKS: <br /> <br />~ONALO E. <br /> <br />STD SYSTEM <br /> <br /> WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICECOPY <br /> <br /> <br />