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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 />of a reBistered builder, <br />The work will be performed by a registered builder, <br />Other <br /> <br />this documenL <br /> <br />OWNER'. ' TAX LOT; <br /> THERRIEN~ HARRY I 1-747;~0--0~0 RESIDENTIAL l <br /> <br />, 7?08 STONE FIELD CT SE ~CONT~-~i~ t-6~ <br /> AUHSVILLE OR 97225 ~MARION COUNTY NO ' <br />'~ O~ Bb'iL~dl~: ................................................................ ~ ........................ L ................................ T N~¢ ~0~:' :' <br /> <br />MAILIN~ ADDRESS; <br /> <br /> ~¢ ~%O~._F I ~i D_.EL~ ..................................................... <br /> 7771 <br /> TERR~N~E <br /> L~NE <br /> 7a8 4¢~,, ~ SiTE NUMBER: <br /> PHONE: 749-~ ~ YALUATION: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 50~54 <br /> <br />CONTRACTOR, NO. 44551 <br /> DwaiY~ Bethel & SoYIs Excava~io~'~ <br />PO Box 584 <br />Turner, OR 97772-0008 <br />PNONE: 747-2~43 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PRE¥IOOS NO;' BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br /> SAND FILTER 1 $4~5.00 <br /> <br /> TOTAL ASSESSED FEES '~" $455.00 <br /> PREV.IOUS RECEIPTS $455.08 <br /> TNIS.,RECEIPT ~8.00 <br /> BAUANCE,DUE $0,00 <br /> PAYEE: RECEIPT NO: <br /> RECEIVED BY:~ PM TYPE: CHECK ~: 8 <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS: OF, ON-SITE SEWAGE SYSTEM, <br /> <br /> ~ THIS IS A VALID PERMIT ~ T~IS PERMIT EXPIRES 36B DAYS FROM ITS ISSUE DATE, IF <br />CONSTRUCTION FAI.S TO MEET ALL REQUIREMENTS OF'OTAI'E LAWS AND MARION COUNTY BOILDIMG AND <br />ZONING ORDINANCES, THIS PERMIT SHALL BECOME NULL AND VOID. <br /> <br />REMARKS.., SANDFILTER/ PLUS CAPPING FI:U. DRAINFIELD & CAPPING FILL MUSTBE COMPLETI.':I) BEFORE <br /> FALL RAINS BEC, IN. <br />DONALD E. WOODLEY, HARION COUNTY BUILDING OFFICIAl. / BY <br /> <br />FORM # MC 18-L~6 REV, 4/~0 OFFICE COPY <br /> <br /> <br />