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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 representative <br /> <br />, OWN~ ............................... ~ "'~X~<' 'g'O:r~ <br /> <br /> M(;I._AU[~-['It-AN. F'~O!,:,EF(T 6t~27:¢¢¢0 ............ RI::,.,I,.E.I tlAi .... <br />'~, ~i~ AbD~ ............... ~, CON~TRU6TfON TYPE: OCCUPANCY; <br /> <br /> STAYTON <br /> AUHSVtLLE OR 97325 ~MAR:[ON COUNTY j NO <br /> <br /> MAILING ADORESS: ', SUBDIVISION'. <br /> SITE NUMBER: 93-~2458 <br /> <br />PERMIT OR APPLICATION <br /> <br />HCLAUfiHLAN,~ ROBEP7 <br />SANE <br /> <br />PHONE:~ 769-3124 <br /> <br />47716 <br /> <br />WATER SUPPLY: F'W <br />TEST HOLES READY: YES <br />SITE EVALtJATION NUMBER= <br />EXISTING TANK SIZE: <br />E×ISTING DRAIN FIELD LINES: <br />SEPTIC t:ANE PUMPED: <br />PREVIOUS NO,. BEDROOMS: <br /> <br />ITEM C,~U A N'F :]: TY AMOUNT <br /> <br />S;I;TE EVALUATION. FIRST LOT <br />AL;THORIZATION NOTjrCE -- FLD. VISIT <br /> <br /> TO fab ,ASSE,~9 ~.~)...F EES $425.00 <br /> . (~E¥,IO[I~,,.RECEIPT~S $425.80 <br /> ";Tk IS R~ZCEIPT <br /> BALANCE DUE <br /> <br />FAYEE,, RECEIPT NO: <br /> ........................................... <br />F~ECEIVE~ BY: DM TYPE: [,HI,,:..K <br /> <br />SEE ATTACHED DOCUMENT ¢'t]E, REQUIREMENTS OF ON-,,9I'~;E SEWAGE <br /> <br /> r,l,~ DOES NOT GRANT (IR IM,PL,¥ FERFiiSStO,A TO BUILD ON THIS FAR(,.(.I .... FL_ANN.{NG ANO <br />ONSTRUCTION PERH;ETS MUST ~E OBTAINED L~;,l-Ox~:, ~UILJ,[NG OR SEF'T]~C ];hlSTALI...A'T']:ON BEGINS,, <br /> <br /> M..NAkK..~,, APPROVED ¢OR SANI) E:~:L'TER,~ GOING 'TI USE Ex~STING <br /> , <br /> ])OiqALD i~:,, WOOI)I_.E:Y? MARiI;ON COLJNT'Y [~UILDING OFFi[,IAL, / BY ~ ......................... <br /> <br />k i/RM # MC 15.56 R~, 4~ OFFICE COPY <br /> <br /> <br />