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MARION COUNTY BUILDING INSPECTION <br />SENATOR DLDG. NO. 225 <br />220 HIGH STRE:EET NE <br /> SALEM, OREGON 97301 <br /> <br />PHONE: 598-St47 8:00.4.;30 <br />HOUR CODE-A-PHONE: 588-7904. <br /> <br />her _, <br /> <br />DATE: Q~1~6/,9.'t T.[l, iF_~ 13:.2~08 ..... <br />CF,:AI~ ?iERIL & ANN <br /> <br /> 774~, TERRANCE LN <br />AUHSV I Ll,£-: <br /> <br />LOT: <br /> <br />TYPE: OH-SiTE <br /> <br />PERMIT O~ APPLICATION NO: <br />(;Oi',ITRAC TOR,,,~ <br /> <br />F, HONE~ 74~-155B <br /> <br /> RES 7 PEI,tT ~ Al._ <br />· O~;CIJ~ANOY! <br /> <br />5 <br /> <br />45182 <br /> <br />WATER SUPPLY: PW <br />TEST ~,)I,.ES READYx YES <br />SITE BVALUATION NUH~ER: <br />EXISTING TANK SIZE; <br /> <br />S~PTIc TANK PU~PED: <br />PREVIOUS N~. B~ORO0~IS~ <br /> <br />TDTnL A~£$SE~ FEES <br />PRE~IOU~ RECEIPTS <br />THIG RECEIPT <br /> <br />BALANCE <br /> <br /> PAYEE: RECEIP'I <br /> RECEIVEO ~Y: P8 TYPE: CHECK ~,", 0 <br /> .>FIE ATTACHED ~OCUMENT FOR RE~UIREHENT~ OF ON-~ITE SEWAbE ~YS'rEH. <br /> <br />~., ~,~TI,I ~,,F.lO~ FAI),.~ TO MEET ALI. REQLIIREffENTS OF STATE LAWS AND MARION COUNTY BUILDiI,~; <br />ZE)NiN~ 0RDII,IANCES~ THIS PERNIT SHALL BEgOM~ NULL AND <br /> <br />RENARK~J: AL.TERATIOI,),~ NEW COMBINATION SEPTIC/DOSING TANK <br />I)DNALO E. WI)OI. EY~ HARION COUNTY BUIL))INQ OFFICIAL B! <br /> <br />~oaM ~ MC ls.~ ac-v, .v~ OFFICE COPY <br /> <br /> <br />