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MARION COUNTY BUILDING iNSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9;'801 <br /> <br /> PHONE: 588-5147 8;00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588.7904 <br /> <br />work on a pFoperty I owil Ut o~cuDy, . <br /> <br />DATE;,_..... .... , ............. . .......... <br /> <br /> WOOLSEY,, DONALD . :, , RESIDENTIAL <br /> <br /> I~226 BE4N ~LLEY ~0A~ ~E ~CONTRAGTg~ ~ <br /> <br /> AUMSV~LLE OR 97325 : HARMON COUNTY~ NO <br /> <br /> SA~E ~ ~TE HU~R~ <br /> PHON~: ~47-2~44 ~ VALUAT~ON~ <br /> <br />............. ~ ~F ~} ............. rT~'~ ~ I P; ........ : RANGE: ZONE= MAP: <br /> <br />TYPE: ON-SITE SEI~GE <br /> <br />PERHIT DR APPLIC~T~G~ ~0= <br /> <br />CONTRACTOR. NO, <br />WOOLSEY, OONAL~ <br />SAME <br /> <br />PHONE: 74~-2444 <br /> <br />474&& <br /> <br />WATER SUPPLY <br />TE~T HOLES READY: <br />SITE EVALUATION NU~BER= <br />EX[STIN~ TANK SIZE: See <br />EXZ~TIN~ DEA~N FIELD L~NES: <br />SEPTZC I'ANK, PU~PED~ 4/2~/91 <br />PREVZOUS No. ~E~ROONS: <br /> <br />225 <br /> <br /> ZTEM QUANTITY AMOUNT <br /> AN.UAL VAL. - oR .. <br /> <br /> REV[OUS,RECE[PT$ <br /> THIS RECEZPT $0.~ <br /> <br /> ' ~ALANCE ~UE' <br /> <br /> PRYEE= -' .' RECEIPT NS= <br /> RECEIVED ~Y= P~ ................................ TYPE= CHECK JJ <br /> SEE ATTACHE~ DOCUMENT FOR REQUIREMENTS OF OH-SITE S~WA~E SYSTEM. <br /> $ THZS IS ~ VALID PERH~T $ THIS P~R~IT EXPIRES 3&~ DAYS .FRO~ ITS I~UE ~A~E. IF <br />CONSTRUCTION FAIL5 TO MEET ALL REqUiREmENTS OF STATE LAWS AND HARION COUNTY ~UILDING AND <br />ZON[N~ OE~ZNANCES~ THIS, PER~IT SH~LL ~ECOHE NULL AN~ <br /> <br />REMARKS: <br /> <br />DONALD E. <br /> <br />HARDSHIP ~ENEWAL, OKAY, REVIEW IN TWO YEARS. <br /> <br /> WOODLEY~ MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICECOPY <br /> <br /> <br />