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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-$147 8:00.4:30 <br /> 24 HOUR CODE~A-PHONE: 588-7904 <br /> <br />GODFREY~ ERNEST <br /> <br />TIME~..22.:.O.4=4& ..: <br /> <br />75300780 ' RESIDENTIAL <br /> <br />SAME ..... <br />PHONE: VALUATION: <br /> <br /> ..24 ............ 8$ ..... 2W . AR3 <br /> 1019 1077 10~746~., SF NO YE~ <br /> <br />TYPE: OH-$~T~/F_.7~~ WATER SUPPLY <br />PERMI~ I~R APPLICATION NO:~-~ 47~1~8 p SITE EVALUATION NUMBE~: <br /> ~,~ '.~ EXISTING T~NK SIZE: 1000 <br />CONT~A~IO~ .... ' EXISTING DRAIN FIEtD LIW~S: <br />~ODFREY, ERNEST ~PTIC TANK PUMPED:' <br />SAME PREVIOUS NO. BEDROOMS: 2 <br />PHONEs <br /> <br />MAP, <br /> <br /> 51 <br /> <br /> ITEM QUANTITY AMOIJNT <br /> AUTHORIZATION NOTICE - FLO. VISIT 1 <br /> <br /> TOTAL A~ESSED FEES $1~0,,08 <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS REOEIPT $160,00 <br /> <br /> BALANCE DUE $8.08 <br /> ~AYEE: GOOF~E~, ERNEST RECEIPT NO: 4~260 <br /> RECEIVED BY: CL TYPE: CE CNECK ~: ~.447 <br /> SEE AT~ACHEg gOCUHENT FOR REQUZREHE~TS OF O~-SITE SEWAGE SYSIEH. <br /> <br /> * THIS ZS A VALID PERMIT · THIS PERE~T EXPIRES 36~ BAYS FRO/f ITs I~UE DATE. IF <br />CONSTRUCTION FAILS TO MEET ALL EE~UIREMENT~ OF STATE LAWS AqD ~ARIDN COUNTY BUI£.DIN~ AND <br />ZONING O~O~NANCE~ T~ PERMIT ~HALL BEOOME NULL AND VOID. ~ ,. <br /> <br /> ¢~EMA~KB= AUTH <br /> DONALD E. WOODLEY~ MAR~oN COUNTY BUILDIN~ OFFICIAL / BY <br /> <br /> <br />