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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 2~'5 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 S:O0 - 4:80 <br />24 HOUR CODE-A-PHONE; 588-7904 <br /> <br />I am performing work on ~ property Iown or occupy, <br />[ am a registered builder OR ) the authorized representative <br />Of a registered builder. <br />The work will be performed by a registered builder. <br />Other <br />I have read and agree to the terms staled on the reverse side of <br /> <br />DATE: 10/21/92 TINE: 11:17:50 <br /> <br />WASMANN, ERIK <br /> <br />SIGNATURE Of APPLICANT; .......................... <br /> <br /> LOT; CATEGORY; <br />75~01-320 RESIDENTIAL <br /> <br />CONSTRUCTION TYPE: <br /> <br />OCCUPANCY: <br /> <br /> 8188 SILVER FALLS HWY SE <br />AUMSVILI;.E OR 97~25 <br /> <br />MAILING ADORESS: <br /> <br /> SANE <br /> <br /> PHONE: 581-1387 <br /> <br />I ~;{~'~ c~"~:ONTY ~1~ OCCUPANT LOAD: <br />4 <br /> <br />SU BOIVIBION; <br /> <br />SITE NUHBER: 93-82351 <br />VALUATION: <br /> <br /> BLOCK: ISECTION: ! RANGE; <br /> 14 ' 85 2W AR ' 49 <br /> DE P~TH: AREA: I RF{E.G, LOT; CORNER; <br />174 <br /> 4?744. <br /> NO <br /> YES <br /> <br />TYPE: OH-SITE SEWAGE WATERSUPPLY: PW <br /> TEST HOLES READY: <br />PERMIT OR APPLICATION HO: 56218 SITE EVALUATION NUMBER: <br /> EXTSTING TANK SIZE: <br />CONTRACTOR. NO. 34916 EXISTING ~RAIN FIELD LINES: <br />STAYTON SEPTIC SEPTICTANK PUMPED: <br />41155 STAYTON SCIO DR. <br />STAYTON. ?7383 i~i~ :}i <br />PHONE: 76~-2302 <br /> <br />REPAIR - MAJOR 1 $125.00 <br /> <br /> :EES $125.00 <br /> $125.00 <br /> $0.00 <br /> <br /> PAYEE: <br /> RECEIVED BY: :PB <br /> <br /> SEE ATTACHED DOCUMENT <br /> <br /> ~ THIS is A VALID <br />CONSTRUCTION FALLS TO MPPM' <br />ZONING ORDINANCES~ THISi <br /> <br />$0.00 <br /> <br /> RECEIPT NO: <br /> TYPE: CHECK ~: 0 <br />;YSTEfl. <br /> <br /> ITS ISSUE DATE. iF <br /> MARION COUNTY BUILDINI; AND <br /> <br />REMARKS: <br /> <br />~ONAL9 E. <br /> <br />FORM # MC 1 §.Se R~. 4/80 OFFICE COPY <br /> <br /> <br />