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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />230 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />PHONE: S85-5147 8;00- 4:30 <br />HOUR CODE-A-PHONE: 588-7904 <br /> <br /> DATE." 11/25/92 <br /> <br /> NATIONAL WOOD INDUSTRY <br /> <br /> ~ PORTER RD <br /> AUHSVILLE <br /> <br />use o~ <br /> <br />8:5~."0B.. <br /> <br />WERTZLER, LIN ; OWNER <br />PHONE: <br /> <br /> TAX LOT' <br /> 60518-000 <br />.......... "~Y~-U~I~' ~YP~' ' <br /> <br />COMMERCIAL <br /> <br /> SE C~N"r.~,bT cifY ..... , uee' <br />OR 97;525 , HARION COUNTY ! NO <br /> <br />OCCUPAN~ LOAD <br /> <br />SITE NUI~BER: <br />VALUAT <br /> <br />WATER SUPPLY= PW <br />TEST HOLES REAOY; <br />S~TE EVALUATION NUHBER: <br />EXISTINB TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED," <br />PREVIOUS NO. BEOROOHS= <br /> <br />TYPE: ON-SITE <br /> <br />PERMIT OR P~PPLICRTIGfl <br /> <br />00NTRACTOR, NO. 04164 <br />adolph H Scharff <br />150 Cordon Rd NE <br />Salem, ~7~0i~0000 <br />PHONE: 000-0000 <br /> <br />'. r~Ap <br /> <br /> ITEM GUANTITY AMOUNT <br /> ST0 0NSITE ~YS < 1000 GAL [ $210.o0 <br /> TOTAL ASSESSED FEE~ $210.o0 <br /> PREVIOUS RECEIPTS $210.00 <br /> THIS RECEIPT ' $0~00 <br /> <br /> BALANCE DUE $0.00 <br /> PAYEE: RECEIPT NO: <br /> <br /> gEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />* THIS IS h V~LIO PER~IT · THI~pEI~I7 E~PIRE$ 3&O Ol%V~ FROH ITS ISSUE OATE, IF <br />CONSTRUCTIOH FAILS TO NEET aLL REQUirEMenTS'OF STATE LA~8 aND MARION COUNTY BUILDING AND <br />ZONING ORDiNaNCES, THi~ PERHIT 8H~LL BECOHE NULL AND VOID. <br /> <br />REMARKS: <br /> <br />~ONALD E. <br /> <br />TANK REPLACEMENT <br /> <br /> NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />