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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: 5S8-5147 8:00 ~ 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />!OWNER; DATE: 20/i4/73 TIME: 26-~ ~8~, 87 : T~X LOT: CATEGORY; <br /> <br /> EOBELLO~ ROBERT & 6AIL 753~-.93~ RESIDENTIAL <br />~ ~JTUS ADDRESS~ CONSTRUCtiON TYPE~ OCCUPANCY: <br /> <br /> 87~4 SHAW SQUARE RD SE '60~i+RXQ~Qif91 VGa: :OCCUPANT LOAD; <br />: ALiMSV II_I,.E OR ?7325 <br /> <br />iMAILING ADDRESS: <br /> <br /> NORETT CONSTRUCTION ~*CALL 585-6?83 <br /> 575 BENVISTA DR S SALEM ?7382 : SITE NUHBER: 93-02771 <br /> PHONE: 364-1655 VALUATION: <br /> <br /> LOT; BLddK: :i'~l ~N; TOWNSHIP: RANGE; ~Oh~: MAP: <br /> <br />........... : ................. ~ ............... ~S ............ 2~ ....... <br />:WIDTH; DEPTH: AREA'. : UNITS; , IRREG. LOT'. ~ CORNER'. <br /> 1~ 1~58 ' 21~54~. SF , NO NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION <br /> <br />CONTRACTOR. NO. 36?4? <br /> AAA SEPTIC SERVICE <br />PO BOX 28811 <br />SALEM~ ?7387 <br />PHONE: 378-74§4 <br /> <br />5e267 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: YES <br />S~TE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br /> REPAIR - MAJOR ] $125.0e <br /> <br /> TOTAL ASSESSED FEES $125.00 <br /> PREVIOUS RECEIPTS $125.00 <br /> THIS RECEIPT me.em <br /> <br /> BALANCE DUE $0.00 <br /> <br /> PAYEE: RECEIPT NO: <br /> RECEIVED BY: PB ..................................... TYPE: CHECK :~: 8 <br /> <br /> 8ER ATTACHED DOCUMENT POE REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br /> ~ THIS IS A VALID PERMIT * THIS PEE~IT EXPIRES ~8 BAYS FROM I~S iSSUE DATE. IF <br />CONSTRUCTION FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PERMIT SHALL BECOME NULL AND VOID. <br /> <br />REHARKS: RPR:flJR TH:?-29-9~, EASEMENT IN FILE-OK TO RECORD 10-.11-?.~ ~/ <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFYCIAL / BY ................. .f~. .......... ~___ <br /> <br /> OFFICE COPY <br /> <br /> <br />