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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />2¢~0 HIGH STREET Nc: <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />DATE: 05/17/'88 TIFIE: 1:36:52p <br />OWNER: ', ~AX LOT: <br /> GUNTHER, CHARLES i <br /> <br />CONTRACT CITY: i UGB; ;OCCUPANT LOAD; <br /> <br />11823 ARNDT ROAD NE <br />AURORA OR 97002 RZONCOUN~Y NO <br />~F BOi~OiN~; ....... ~" ............ iN0 OF BEDROOMS: <br /> <br />878-1515 : SITE NUHBER: 2102 <br /> VALUAT I ON .' <br /> <br /> 33 ,' ~S i, PREC. LOT ~ :CORNER EEU 1 <br /> <br /> 18 0000 ' AC ' NO j NO <br /> <br />MAILIN~ ADD~ESS: <br /> <br /> SAHE <br /> <br /> PHONE; <br /> <br />LOT; <br /> <br />TYPE; ON-SITE SEWAGE <br /> <br />PERFIIT OR APPLICATION NO: <br /> <br />CCt4TRACTOR, NO. <br />GUNTHER, CHARLES <br />SAME <br /> <br />[:'HONE: 678-1515 <br /> <br />8466 <br /> <br />WATER SUPPLY: <br />TE~T HOLE-'~3 RE. ADY: <br />SITE EVALUATION NUMBER: <br />EXISTING T,~C4K SIZE: <br />E"XZSTING DRAIN F~ELD LINES: <br />SEPTIC TANK <br />PREVIOUS NO. BEOROOIVlS: 3 <br /> <br /> ~ T EM OUANT I TY A~'K)UN T <br />ALT'ER. AT ION 1 $145.00 <br /> <br /> ' : '~ '-'""r0TAb::.ASE, ESsED';:FEES $145.00 <br /> :PREV I GUS ]. RECE I;~TS <br /> THIS RECEIPT $0_00 <br /> <br /> ~ ~: 'BALANCE DUE $0.00 <br /> <br /> ":: ' RECEIPT NO: <br />PAYEE: <br />RECEIVED BY; CL ' TYPE:,, .,CHECK ~: <br />SEE ATTACHED DOCUMENT FOR RE~[REMENTS'OF ON'~sIT~.E~,./~SYSTE~- <br />* THIS IS A VALID PEI~IT * TH:IS, <br /> I~DUE <br /> DATE. <br /> IF <br />C~RUCTiQN PAIL~ TO I~ET ALL R~'fRE~IEN~,!OF;:S~ATE:;~.ANDL AND .VOiD ,I~&RTON COUNTY BUILDING <br />zc~Ne O~O~N~CBS. THIS PE~T <br /> <br />RF_jVtARKS: ALTERATION PERi',.IIT FOR DRAINFEI'LD R:~604;7. '~ <br />00NALD E. IAEX)DLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> <br />