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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 />[amareoisteredbuilderOR( )theauthorlzedrepresentatlve <br />Other. <br /> <br />; Ceda"s Restura~-t't: & Lounge Inc. I i E(~fA, EB[ ~L <br /> <br />: <br /> 200 14 DETROIT 4YE .._ ~-~'~i~; F'0-6~'~ <br />:' DETROIT OR 97342 DETROIT NO <br /> ~DiLDiN~i .............................................................................. ~' '~ '~{d~5~'S: <br /> <br />~ MAIL.lNG ADDRESS: .... <br /> <br /> DAVID LAYMOH <br /> P.O~ 563 DETROIT~ ORE B7~42 <br />~ ~ ~ SITE NUMBER: <br /> PHONE: 8~4-~764 VA~,UATION: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />~ON'f'RACTOR, NO,, 36421 <br />kEVIN~S BACKHOE <br />PO BOX 4~5 <br />DETROIT.~ 97342 <br />PHONE: <br /> <br />WATER SUPPLY. CW <br />TEST HOLES READY: , <br />SITE EVALUATION NOHBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TA~K PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM OOANTITY AMOUNT <br /> STD ONSITE SYS ( 1000 GAL 1 $255.00 <br /> ADDYTIONAL SUBSURFACE FEE8 1 <br /> <br /> TOTAL. ASSESSED FEES $525. <br /> PREVIOUS RECEIPTS $525. <br /> THIS RECEIPT $~,, <br /> <br /> ~ALANCE DUE <br /> <br /> PAYEE: IHVOICE <br /> RECEIVE~ BY: CL ............................... = .... TYPE: CHECK ,~: <br /> <br /> ~ THIS iS ~ VALID PERMIT t THIS PERNIT EXPIRES 3~ DAYS ,FROM ITS I~SUE D~TE. <br />CONSTRUCTION FAILS TO MEET ALL REQUIREHEhTS OF STATE.LAWS A,D MARION COJNTY BUILDING AND <br />ZONING OESINANCES~ THIS PERMIT SHALL BECOHE. NULL.~B VOI~. <br /> <br />kEHAI~:KS. REF. IIISTALL NyDkO SPLI1TER~ EMERGENCY REPAIR(IHIEREH)/TO/3AB[_ENEAfE EXISTING <br /> HEALTH NAZARB , I~l ~/ <br />DSNAL. D E,, WOODLEY, ]EFICIAL~ BY .......... ~ ................................................ <br /> <br />FORM # MD l S-S~ REV. 4/~0 OFFICE COPY <br /> <br /> <br />