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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 - 4:80 <br />24 HOUR CODE-A. PHONE~ 588-7904 <br /> <br /> O~TE: 09/04/92 TIHE; [6:48:09 <br /> , <br /> <br />J 320 SANT[~H A~E ........................................... ['bbCU~ANT LOAd: <br />{ DETROIT OR 97342 ~ D~]~lTv: ~ ~: ', <br /> <br />' ~' ~¥"~'i'~5¥~ ................................................................................ ~ .......................................... [~ ..... <br /> <br /> ~ HRM~ONO DIVisION TO O~TRO[T <br /> [3200 IRON HT BLVD , ............................................... <br /> PORTLAND OR 972[~ · SITE MUTER: ~2-0~445 <br /> PHONE: 655-7905 ~ <br /> <br />TYPE: ON-SITE SE~RGE <br /> <br />PEHHIT OR aPPLICaTION NO: <br /> <br />CONTRACTOR, NO. <br />STRA$$HOFER. 3IH & PIPER <br />1~200 IRON MT BLVo <br />PORTL~NO OR 97219 <br />PHONE: 635-790S <br /> <br />40997 <br /> <br />WATER SUPPLY: CW <br />TEST HOLES REAOY: <br />SITE EVALUATION N'UHBER: <br />EXISTING TANK SIZE: <br />EX~sTIN~ DR~!N FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: 2 <br /> <br /> ITEH QUANTITY AMOUNT <br /> REPAIR - HAJOR 1 $105.o0 <br /> AUTHORIZATION NOTICE - NO VISIT 1 <br /> TOTAL ~SSESS'EO FEES $185.00 <br /> ': .... PRE~IOUS. RECEI'PTS $185.oD <br /> " ....TMI~ RECEIPT $0. oo <br /> ' ,o_ oo <br /> PAYEE: INVOICE NO= <br /> RECEIVED BY: DM2. ..=~ .:. , ~;.. ...... TYPE: CHEC~ ~: 0 <br /> SEE ATTACHED OOCUHENT '"FOR REQUZ~EN.~S'OF, ON-3~T'E,',sEwAGE SYSTEM. <br />z THIS 19 A VRLID PERNZT ,THIS PE~.'.~I~S ~60 ~Y8 FRON ITS I~UE DRTE. <br />CONgTRUCT~ON FAILS TO MEET ALL REQUIREMENTS OF STATE ·LAWS AND MARION COUNTY BUILDING AND <br />ZONING ORDiNANcES, TH~S PERHIT 8H~LL BECOME NULL ~NO VOID. <br /> <br />REMARKS: AUTH/ major repair , LIMITED TO 2 BEORH <br /> <br />DONnLO E. WOODLEY, HARION COUNTY BUILDING OFFICIAL <br /> <br />OFFICECOPY <br /> <br /> <br />