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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br /> P20 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 /> DATE- 11/20/92 TIME: 12:[1:08 <br /> ....... F ................................... . '~,~X' '~-:' ............................ ] ~ATI~OR¥:' ' <br />, 56~0~-000 RESIDENTiaL <br /> <br /> SiTbs ~Ob~E~S~ ......................... [' GONSTRUOTION TYp~: TOO~U~ANCY: <br /> <br />" RUH~V~LLE75~[ BISHOP ED OR 97~25~E ~ ~ .................. c~gNTY [...~ ............... .rb~b"~T LOAm <br /> <br /> ............. : ............................ ~ ........................................ h6 'OT ~b~'~. <br /> <br />SAME <br />769'2855 <br />PHONE: 749-2841 <br /> <br /> SITE NUNBEE; <br />: VALUATION: <br /> <br />TYPE= ON-SITE <br /> <br />PERHIT OR APPL[CATIO~I NO: 4T~489 <br /> <br />CONTRACTOE~ NO. <br />FAGAN, RIOHARD <br />SANE <br />769-2885 <br />PHONE: 749-2841 <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: 10-29-92 <br />PREVIOUS NO. BEDEOONS: <br /> <br /> ITEM <br />AUTHORIZATION NOTICE - FLD. VISIT <br /> <br />PAYEE; <br />RECEIVED BY: PB ~ <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS <br />· THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> 1 $1~0.00 <br /> <br />$0_00 <br /> <br />BALANCE.DUE $0.00 <br /> <br /> RECEIPT NO; <br />TYPE: CHECK <br /> <br /> SEE ATTACHED DOCUMENT FOR REQUIREHENTS OF ON~$ITE.$EWABE SYSTEM. <br /> <br />· THIS I$ A VALID PERHIT * THIS PERH[T E~(PI~$ T~O DRYS FROH ITS IS~JUE [~TE. IF <br />CONSTRUCTION FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS ANO M~R[ON COUNTY BUILDING ~ND <br />ZONING ORDINANCES, THIS PERNIT SHALL BECOME NULL AND VOID. <br /> <br />REMARKS; AUTH <br /> <br />DONALD E. WOODLEY, MARION COUNTY 8UILDIN8 OFFICIAL / BY <br /> <br />OFFIOE (~3FY <br /> <br /> <br />