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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: 585-5147 8:0(3 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />have read an0 aoree to~t~ ~erm~sia{~d o~ the r~rse ~ide 0t <br />~TEVEN~ PAUL <br /> <br /> 'ILE <br /> <br /> RESIDENTIAL <br />'OCCUPANCY: <br /> <br /> AURORA OR 77~2 MARION COUNTY~ NO ;. <br /> <br />,'O~'d~' ~iLol~ ................................................................................................................... , <br /> <br /> ..................... '"' ...... su~6~,s~:" ' ' ................... <br /> , ~YRON GRIMM E~TATE~ <br /> SAME <br /> <br /> PHONE: 678-147~ VALUATION: <br /> '' <br /> <br />"~'r~; ~ ..................... ;-A~ ................... ?E~; .............. i'~EE'L~?; .............. i ~6~h-~ ......... <br /> 126 :: 210' 2646B. : S~ ~ NO ~ NO <br /> <br /> TYPE-- ON-SITE S~E WATER SUPPLY: PW <br /> TE~T HOLES READY= <br /> EXISTING TANK ~ZZE= <br /> CONTRACTOR~ NO. EXISTING DRAIN F~ELD LINES~ <br /> ~TEVEN, PAUL SEPTIC TANK PUMPE~: <br /> ~AM~ PREVI~ NO. BEDROOMS: <br /> <br /> PHONE-' 678-!478 <br /> <br /> ~TEH QUANTITY ~M~UNT <br /> REPAIR - MAJOR I $125. <br /> TOTAL A~ESSED FE~ <br /> ' 'PREVIOUS, RECEIPTS <br /> <br /> '::,' BALANCE, DUE .' ' <br /> · · .' ,,,.' · · ',, EECEIPT 5 <br /> RECEtVE~ BY: fib ............ :_~_;~;. -;; ..... TYPE~ CKCHECK <br /> ................................... :::~ ..... ::~ ........ ~ ............................ <br /> SEE ATTACHED QOCUHENT FOE ,EEQUIREHENT8.' O'P ,OH-SITE ,,SE~AGE.~Y$TEH. <br /> ~ THIS IS HUT A PE~IT., THZ5 .~PL[CAT~, ~ ~ ~O~H A RW~E~ PROCESS ~EE THE <br /> FOLLOW~N~ ~UsT BE COMPLETE~. IT ~ THE R~BPONSIB~L~TY OF THE APPLICAHT TO ASS~E THAT <br /> ALL NECESSARY INFORNATION HAS BEEN PEOV[DE~. <br /> <br />PLAN REVIEW: BY__ DA , CITY .JURISDICTION: BY DATE <br />REMARKS: E'PR: MAJ <br /> <br />OFFiC~= COPY <br /> <br /> <br />