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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO. 225 <br />220 HIGI'f-,~TREET NE <br /> SALE~, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 P.M - 800 AiM <br /> <br />DATE: 03/10/88 TIME: 10:50:57a <br />OWNER <br /> WEST, NALTER <br /> <br /> 12993 EHLEN RD NE <br />AURORA OR 97002 <br /> <br /> SIGNATURE OF APPLICANT <br /> DATE .. . <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br /> CONTSAOT ClT~ ' ' '1 U6~ <br />fC~RION COUNTY NO <br /> <br />SUED VISION <br /> <br /> RESIDENTIAL <br /> <br />! O~CUPANT LOAD <br /> <br />¢:'O BOX 426 <br />WILSONVILLE OR <br />PHONE~ 682-3003 <br /> <br />97070 <br /> <br /> 10 4S <br />60. 0000 AC <br /> <br />SITE NUN~ER: 1306 <br />VALUATION: <br /> <br /> RANGE i~ONE <br /> <br /> 1W I EFU <br /> qRE~ LOT NO INO <br /> <br />TYPE: ON-SITE SE~GE <br /> <br />PERMIT OR APPLICATION NO; <br /> <br />CONTRACTOR, NO.. <br />WEST, WALTER <br />¢E) BOX 426 <br />WIL2,ONVILLE OR 97070 <br />¢~HONE: 582-3003 <br /> <br />9007172 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER; <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELO LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEN QUANTITY AMOUNT <br />AUTHORIZATION NOTICE - FLD. VISIT <br /> TOTAL ASSESSED FEES $65+00 <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT $65,00 <br /> <br /> BALANCE DUE $0.00 <br /> <br />PAYEE; NEST, WALTER ~ ~;F4~ECEIRT NOt 7802 <br />RECEIVED BY: P8 ~/"'~= -- . ..... -TYPE:-CE CHECK ~: 17883 <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OR ON~SITE~SB14A~E :SYSTEM. <br /> <br />* ~IS I~ NOT A PE~iT. ~IS~PLIOATI~ ~ST ~ ~ ~ R~IB P~ ~ERE ~E <br />FOL~[N6 ~ST 8E ~PL~EO. IT I8 ~E RBS~SILZ~ OF ~E APPLI~T TO ~RE ~T <br />ALL N[C~ INFO~TI~ ~ BED <br /> <br />PLAN REVIEW: BY ........... DATE <br />REHARY-~: R;~9301 <br /> <br />CITY JURISDICTION: BY ........ DATE .......... <br /> <br />.o.~ ,. ~c ,~6 ,~c,. ,~.~ OFFICE COPY <br /> <br /> <br />