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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: 888-7904 <br /> <br />I am a registered builder OR ( ) the authorized reDresentat ve <br />Other <br /> <br /> [;ARR ISON,~ DON 74442-18t RESIDENTIAL. <br />j $1TU~ ADDRE~B. CONSTRUCTION TYPE: OCCUPANCY; <br /> <br /> 617~ ~hNT~A~ SPRINGS CT SE CONTRACT CI~ UGB OCCUPANT LOAD: <br /> A[.IMSVILI..E OR 97325 MARION COUNTY NO <br /> <br /> 7585 I, ATFI,.ECREEI~ RD SE <br />i PHONE: ~78-258~ VALUATION: <br /> <br />'~ bf~ ........... ~+~'. ..... r AE'~A: ..........u~7~; ........... J i~,'Eot7~ CO~N~: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION <br /> <br />CONTRACTOR. NO. <br />G?RISON~ ~ON <br />7.~85 BATTLECREEK RD SE <br />SALEM OR 97~01 <br />PHONE: 370-25S0 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION HUMBER: 92-889 <br />EXISTING TANK SIZE: <br />EXISTING BRAIN F'~ELD LINES: <br />SEPTIC ~ANK PUMPED: . <br />PREVIOIJS NO. BEgROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br />STANDARD OH-SITE SYSTEM I $~0u.00 <br /> <br /> TOTALASSESSED FEES $255.00 <br /> .P'REVIOOS.RECEIPTS $255.00 <br /> TH!S~ RECE~P.T $0,, 00 <br /> <br /> PAYEE: RECEIPT NO: <br /> RECEIVEB BY: CL ....................................... TYPE: CHECK ~: 0 <br /> <br />CONSTRUCTION F~ILS TO NEET ALE REQUIREMENTS OF/STATE.LAWS AN~ MARION COUqTY BUI_D[NG <br />ZONING ORDINANCES~ THIS PERMIT.SNALC BECOME. NULL' <br /> <br />REMARKS: STD ~ <br />DOI,IALD E, WOODLEY, MARIO~'cOUNTY BUIEDING O'FFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />