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MARION COUNTY BUILDING INSPECTION <br />SENATOR I~LDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: .~8S..5147 8:00 - 4:30 <br />P-4 HOUR CODE-A-PHONE: 5~-7904 <br /> <br />bWNER; <br /> OAHLE, ELDEN O. & SHARON ; ' EEO[DENTrOL <br /> ........ ' ~O'N~'R'U ~ ~ ~' ~ ............... <br /> <br /> ~UHSV[LLE OR ~7325 ; H~R[OH CoUNTY~ NO <br /> <br /> ~ S[TE NUMBER: <br /> PHONE: 5?3-7734 VALUATION: <br /> <br /> ' .-~k~ .......... ;'~'~ ........ . ..................................... ~t : z~u['. ;~P;' <br /> : 46. ~ ~C YES ; NO <br /> <br />TYPE: O~-SZTE SE#AGE <br /> <br />PERHIT OR APPLICATION NO= <br /> <br />CONTRACTOR, NO. <br />DAHLE, ELOEN O. & SHARON <br /> <br />PHONE: $93-7754 <br /> <br />44467 <br /> <br />WATER ~UPPLY: PW <br />TE$T ROLES READY: <br />SITE EVALUATION NUHDER: 8523 <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIc TANK PUHPED: <br />PREVIOUS NO. BEOROOMS: <br /> <br /> ITEH QUANTITY AMOUNT <br /> sTANOARO ON-SITE SYSTEH 1 <br /> <br /> TOTAL ASSE$$ED FEES $210.00 <br /> PREVIOUS RECEIPTS $2i0.00 <br /> THIS RECEIPT $0,00 <br /> <br /> BALANCE DUE $0,00 <br /> <br /> PAYEE: RECEIPT NO: <br /> RECEIVED BY: P8 ....... TYPE: CHECK ~: 0 <br /> <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENT~ OF OM-SITE SEWAGE SYSTEM. <br />* TRZS IS A YRLID PERMIT * THZS PElf'HIT EXPIRES ~60 DAYS FRO~ ITS ISSUE D~TE. IF <br />CONSTRUCTION FAILS TO MEET ALL REOUIRERENT$ OF, STaTE LAWS AND MARION COUNTY SUILOING AND <br />ZONING ORDINANCES, THIS PERMIT SHALL BECDHE NULL AND VOID. <br /> <br />REMARKS: STO SYSTEM <br /> <br />~ONALD E. WOOOLEY, MARION COUNTY 6UILDING OFFICIAL / BY <br /> <br />OFFICECOPY <br /> <br /> <br />