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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 H~GH 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 /> performing work OR a property I own or O0¢upy. <br /> <br />O~he~'~ -. , <br /> <br /> D~TE: ~/2~/~ ' ~. -~ .0 <br /> HOSE~, RONA[.~ <br /> <br /> 1~332 LEVE~MAN ROAD ' <br /> <br /> S~NOR ESTATES <br /> <br />SITE NUNBE.~¢ <br />VALUATION: <br /> <br />: 125 i 3~:, 4t500~ i 8F <br /> <br /> TYPE: ON-SITE SEWAGE <br /> <br /> CONTRAC'r~R~ Ntl. <br /> MO~ER, RONALD <br /> 512~ AUBURN RD NE <br /> ~ALEM <br /> F HONE. ~-~77~ <br /> <br />WATEF~ SUPPLY: PW <br />TEST HOLE~ READY: <br />SITE EVALUATSQN NUMBER: <br />EXISTING TANK ,~IZ~: , ~-~. <br />EXISTING D~AIN FI=LO LIN~.~.. <br />SEPTIC TANK PUMPED: <br />PREb'~OU~ <br /> <br /> A~OUNT <br /> <br /> TOTAL ASB~S~ED FEES $255~ <br /> "P~EVIOUS RECEIPTS <br /> ., THIS ~ECEIPT ' <br /> "BAEANC~ DU~ <br /> <br /> PAYEE: '" "' ' ~ ......... RECEIPT <br /> RECEIVED BY: F'8 TYPE: CHECK 8~ <br /> ;4~E ATTACHED DOCUMENT ~OR REQUIREMENTS OF ON-S~TE SEWAGE SYSTEM. <br /> * THIS IS A VALI~ P~RMIT * THI~ PER~IT ~XPiRES ~ ~AYS :FROH ITS ~G~UE D~TE, ~F <br />CONST~[JCTION FAIL~ TD MEET AL~, RE~U[RENENTS OF STATE LAWS AND MARION COUNTY ~UIL. DZt~G AND <br />ZONING ORDINANCES, THI'S PERMIT SWALL B~CO~E NULL AND VOID. <br /> <br /> <br />