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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97801 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />DATE: 0'?/21l?,~ TINE: 11:20:4.t ~ T~kLOY:: '¢C~TEGORY: <br />"'" :": """"' . : i RESIDENTIAL <br /> <br /> ]I ~'T~ Ol~: I' b'~8: T o~OPANT LOAD; <br /> 11226 BEAN ALLEY ROAD SE '. MARION COUNTYl NO !/ <br /> AUMSVILLE OR 97~25 <br /> <br /> SAME <br /> SITE NUHBER: <br /> PHONE: 74~-2444 ; VALUATION: <br /> <br /> 1. AC NO , NO <br /> <br />TYPE: ON-SiTE SEWAGE <br /> <br />PERHIT OR APPLICATION <br /> <br />LB~TRACTOR. NO. <br />WOOLSEY, DONALD <br />SAME <br /> <br />PHONE: 749-2444 <br /> <br />47466 <br /> <br />WATER SUPPLY <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTIN~ TANK SIZE: 588 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: 4/26/91 <br />PRE¥IOUS NO. BEDROOMS: <br /> <br /> ITEN QUANTITY A"OUNT <br /> ANN(JAL EVAL. - TEMP OR HDSHP MH 1 $90,0~ <br /> TOTAL ASSESSED FEES $~;~ <br /> PREWOUS ECEIFTS <br /> THIS RECEIPT $0.00 <br /> BALANCE DUE $0.00 <br /> <br /> PAYEE: RECEIPT NO: <br /> RECEIVED BY: PB .................................... TYPE: CHECK $: 0 <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE sEwAGE SYSTEM. <br /> ~ THIS IS A VALIO PERMIT * THIS PERHiT EXPIRES 368 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNI'Y BUILDING AND <br />ZONING ORPlNANCES~ THIS PERMIT SHALL BECOME NULL AND VOID. <br /> <br /> REMARKS~ <br /> <br />· DONALD E. <br /> <br />HARDSFIIP RENEWAL. OKAY, REVIEW IN TWO YEARS. <br /> <br /> WOODLEY~ MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />