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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 2E5 <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 /> ~ ................................................... '~' ~k- ~ ~T .................... <br /> MIKE'S HOT~L/E~RL HICHAELSON <br />;'~us z~o.~ss ................................................... ~b~b-~ ~-+VP~; "' <br /> <br /> ~'o~ ~U(LOr'N~; ............................................................ ; "~ ..................... <br /> <br />~ HAHHOND <br /> l&0 ~REITENBUSH RORO <br /> DETROIT, ORE~ON 97~42 SITE NUMBER: <br />, PHONE: 854-~421 VALUATION: <br /> <br /> i , <br /> <br />DATET .................................. <br /> <br />'COMMERCIAL <br /> <br />9Z-0~270 <br /> <br /> "~' [~'~-k,7 ......... F~AP: <br />~ 1 10 j SE :, <br /> · YES ' NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO= 42238 <br /> <br />CONTRACTOR. <br />MIKE S MOTEL/EARL NICNAELSON <br />160 BREITENBUSN ROAD <br />DETROIT, OREGON 97342 <br />PHONE; 854-3421 <br /> <br />WATER SUPPLY: CW <br />TEST HOLES REAOY: <br />SITE EVALUATION NUHBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPEO: <br />PREVIOUS·NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br /> STD ONSITE SYS < 1000 GAL 1 $200,00 <br /> TOTAL ASS~$SED.F~£S $200.00 <br /> , ,,P'RE~IOUS RECEIPTS $200.00 <br /> THIS RECEIPT $0.00 <br /> ~ALANC~ OUE $0.00 <br /> PAYEE; ......... INVOICE NO~ <br /> RECEIVED BY: PB ........ = .... ~_~ .... ,.~__' TYPE: CHECK ~: 0 <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS:OF ON-sITE SENAGE SYSTEM/ <br />* THIS [SA VALID PERHIT '*, THiS PERMIT, EXPIRES ~&~'DAYS ..FROM ITS iSSUE DATE. IF <br />CONSTRUCTION FAILS TO HEET ALL REQUIREHENTS OF. 9TATE LA~S 'AND N~RION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PERMI.~'SH~LL BECOME NULL AND' VOID. <br /> <br />REMARKS: COML ORAINFIELD REPAIR <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / 8y <br /> <br />OFFICECOPY <br /> <br /> <br />