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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: 888-8147 8;00 - 4;30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy, <br />lam aregisteredbullderOR( ) the authorized representative <br /> <br /> , fAX · ;~ cA~9~¥: <br />!'b~"i'~);~]'i::: TINE:: 14:55: l~ : ~of: <br /> <br /> MARILYN' i, co~[~Sfp~: : o~f:EJ~;~I~F~N T T A [.' ~ <br /> <br /> ~ CONTRACT 6ITY'. <br /> 9824 KEENE LN . S~ ! ~' <br />'8~ O~ ~i~5~'¢MSVd:L&~E M~R~SN~. <br /> <br /> ~' WALDO HILLS FRUIT FARM 2. <br /> SANE <br /> SITE HUMBER: 93-02711 <br /> F ON& 74? ~101 , V <br /> ALUAT~IO.I~ __ _ <br /> ;LOT: BLOCK'. SECT ON TOWNSH P RAN(~E ZONE I MAP <br /> <br />.............. ~. ,¢ ..... ~O ......... 170 .......................... = <br /> <br />TYPE: ON-SITE SEWACE <br /> <br />PERHIT OR APPLICATIOH NO: <br /> <br />CONTRACTOR~ <br />THOMPSON, ~ARILYM <br />SANE <br /> <br />PNONE: 749-S181 <br /> <br />48958 <br /> <br />WATER SUPPLY: F'W <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: 1090 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: 7/14/93 <br />PREVIOUS NO. BEDROOMS: 2 <br /> <br /> ITEM QUAN'¥ITY AMOIJMT <br />AWTHORIZAI'IOI~ NOTICE - FLD, VISIT :1, $160,,00 <br /> <br />TO,IAL, ASSES~ED FEES <br />PREVIOUS RECEIPTS <br />TNI,S RECEIP~ <br /> <br />$160.00 <br />$160.00 <br /> <br />BALANCE DUE $0.90 <br /> <br /> F AYLE. ,, ~' '. <br /> .... REC. EI~ r NO. <br /> RECEIVED BY:: MB .......................... TYPE: CHECK ~: 0 <br /> SEE ATTACNEB DOOOME. MT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br /> * THIS IS A VALID PERHiT * THIS PERHIT EXPIRES, 368 DAYS FROH ITS ISSUE DATE. IF <br />CONSTR.JLIZOH FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUII,,,DIN(; AND <br />ZONING ORDINANCES~ THIS PERMIT ~HALL BECOME NULL AMQ <br /> <br />RENARKS: SS:AU:F'LD <br />DONALD E,, WOOgLEY, <br /> <br />MARIOH COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 1 ¢,~6 RSV, 4~90 OFFICE COPY <br /> <br /> <br />