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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: §8~-5147 8:00- 4:30 <br />24 HOUR CODE.A-PHONE: 588-7904 <br /> <br />TYPE= ON-SITE <br /> <br />PEE~[T OR APPLICATION <br /> <br />CONTRACTO~ NO. <br />~LL[AMSON, ~OBERT ~ EL:IZA~ETH <br />19527 CASE RD <br />AURORA, OR 97002 <br />RHON£; &78-5588 <br /> <br />WATER BUF'PLY: PW <br />TEST HOLE~ REAgY: <br />SITE EVALUATION NIJHBER: <br />EXI~TIN~ TANK St2E: 17~g <br />EXISTING' QRAIN FIELD LINES: <br />SEFTIC TANK FUMFED. 1-,~0..73 <br />PREVIOUS NO. BEDROOMS: 2 <br /> <br />~75 <br /> <br /> ITEM ' · ' QUANTITY AMOUNT <br /> AUTHORIZATION NOTICE - FLD.. VISIT 1 $I&~,0~ <br /> · .. TQ'T~I~!"ASSES~ED.:FEES <br /> "' ,, - :" · ,"~EV,I,'OUS: .~ECE.IPI'~ <br /> <br /> PA~EE~ ~F(E'.~EI F' f <br /> "' - TYPE: CHECK ~: <br /> <br /> SI~E ATTACNED DOCUMENT. FOR' ~EQUIREHENTS 'OF ON-SITE .SEW~GE..SY~TEH. <br /> <br />CONDTRUCT~OI~ FAILS TO HEET ALL REQUIREMENTS OF STATE.~AW~ ~ND MARION OOUNTY ~{uII.DING AND <br />ZONe[NS OF(DINANCE~ THIS.PERMiT SHALL BECOME NULL AN~' YOI~. <br /> <br />~-o.u ~ uc ~s.~ ~. ,W OFFICE COPY <br /> <br /> <br />