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MARION COUNTY BUILDING iNSPECTION <br />SENATOR BLDG_ NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97501 <br /> <br /> PHONE: 568-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />OATE; ....................................... <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION <br /> <br />COHTRACTOR. NO, <br />BOCHSLER~ RALPH <br />4.1.218 KINSTON LANE <br />STAYTON. OE ~7383 <br />PHONE: <br /> <br />4B477 <br /> <br />WATER SUPPLY: CW <br />TEST NOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE, <br />EXISTING DRAIN FIE~D LINES: <br />PREVIOUS ilO. BEDROOMS: 1 <br /> <br /> ITEM QUANTITY A~OUNT <br /> AUTHORIZATION NOTICE - FLD~ ~I~IT 1 $I68.00 <br /> <br /> TOTAL ASOE-~SSE9. FEES $160.00 <br /> . PREViOUS.R~GE~PTS. $0.00 <br /> <br /> · ....::.,:.. B~LANCE DUE <br /> AYEE. <br /> INVOICE NO: 53829 <br /> RECEIVE~ BY: CL ' ...... TYPE: CHECK ~: 0 <br /> SEE ATTACHEI) DOCUMENT'..FOR'~EQU~'~EM~RTS'eF. ON~S.ITE 8EW~EE'BYSTEM, <br /> ~ THIS IS A VALID PER~IT · .THIS."PF-~IT 'EXPIRES.3~e DeYS 'FRON ITS ISSUE bATE. IF <br />C~NST~UCTIDH FAILS TO HEfT'ALL RE~JtEENEN~S OF STATE,L'~$ ~ND MARION COUNTY ~UILDING <br />ZONIN[; ORDIHANCES~ 'THIS ,PERMIT SHALL BECOHE' NULL.'AND- VOID.. <br /> <br />F~E-NARKS: AUTH ' ' - ~' ' ~" STAKE OUT FOR,'SANDFILTER BACKUP 8YSTE,~J.I)~(~[} <br /> A~-hOVE;) oUBJE~T TO TEl) F'~NiAL COF'Y <br /> ]. 1-17'-'9S ' <br />~ONAL[) E, W O~t.b-Yv fiARION COUNTY ~UILDIN~ OFFZCZAL/ ~Y ~ <br /> <br />~n~ ~ ~c ~-~ n~v. ,J~ OFFICE COPY <br /> <br /> <br />