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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: E~]8-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 5~-7904 <br /> <br />I am perlormir~g WOrk on a, prOo~,rW t Own or occupy. <br /> <br />Other ......... <br />I have read an~ agree to the terms ~ta~ed ~ the' reverse side of <br />~h{& OocumenL <br /> <br /> gATE: 10/26/92 TIME: 1l:2t:28 <br /> NORRiSON, RONALO <br /> <br />[~ATE; ......................... <br /> <br />.................. ,' TAX 'L~¥; ................................. ' dATEGOR~/; <br /> i 5611~000 : RESIDENTIAL <br /> <br /> 9844 KEENE tN <br />AUMSVILLE <br /> <br />SAME <br /> <br />PHONE: 749-1018 <br /> <br /> 8TTE NUHBER: 9'2-03697 <br /> VALUATION: <br /> <br /> : . 19 . 88 : 1W i AR~ 46R <br />.380 ~ 521 : 197980, 8F ! NO i NO <br /> <br />43267 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER; <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO, BEDROOMS: 2 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />NORRISON~ RONALD <br />SAME <br /> <br />PHONE: 74¢-~018 <br /> <br /> ITEM QUANTITY AMOUNT <br /> AUTHORIZATION NOTICE - PLO. VISIT 1 $130.00 <br /> TOTAL ASSESSED FEES $130.00 <br /> PREVIOUS RECEIPT~ $1~0.00 <br /> THIS RECEIPT $0.00 <br /> BALANCE DUE $0,00 <br /> PAYEE: RECEIPT NO: <br /> RECEIVED BY: PB TYPE: CHECK ~: 0 <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-$~TE SEWAGE SYSTEM. <br /> <br />* THIS [$ S VRLZO PERMIT * THIS. PERMIT EXPIRES ~&o DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND HAR~ON COUNTY BUILDING AND <br />ZONIN~ ORDINANCES, THIS PERMIT SHALL BECOHE NULL AND V0~0. <br /> <br />REMARKS: AUTH <br /> <br />DONALD E. WOODLEY, <br /> <br />MARION COUNTY BUILOIN~ OFFICIAL / BY <br /> <br />~o~M # MC ~S-S~ n~.,~ OFFICE COPY <br /> <br /> <br />