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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: 888-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />OWN~RDATE: 03/13/91 <br /> <br /> JOHNSON, JiM <br />SITUS ADDF~ESB: <br /> <br />'FINE: 17:12:21 <br /> <br />RES i BEN'i' i, <br /> <br /> i CONTRACT CITY: ~ UGB: <br />19872 OLr4S'rEAO RD NE <br />AURORA OR 97002 <br />UBE OF BUILDING: ..................... 'J~R~'ON COUNTY NO <br /> <br />i OCCUI~ANT LOAD: <br /> <br />MAILING ADgREBS: _~ I BUBDIVI~i'0N <br /> <br />SA~E <br /> <br />PHONE: <br /> <br /> DAY 682-2420 <br />678-5133 <br /> <br /> BLOCK: :SECTION: TOWNBHIP~ <br /> <br />19 UN,TS: <br />0.42 <br /> <br /> SITE NUI~ER: 530 <br /> VALUATiON <br /> <br />451 ~AE~. LOT: ~N 18d~: EP'U <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERtVlIT OR APPLICATION NO: 9030628 <br /> <br />ooNr~'rOR, NO. <br />JOHN,SCf4, J ~N <br /> <br /> DAY <br />PHONE: 678-5133 <br /> <br />NAT'ER SUPPLY.- <br />'r:--~.~3'f HOLE~ READY: <br />~.iI'E E~/ALUA'FION NUfV~ER: <br />P-D~i$'FING 'rANK ~izE: <br />EXISF'INr~ DRAIN FIELD LINES: <br />E~EPTiC 'rANK PUMPED: <br />PREvir...~JS NO. BEDR'CO',IS: <br /> <br /> I 'fEN QUANT i 'I'Y ANOUN'[' <br /> AUTHORiZAT ION NOTICE -NO VZSl F' 1 $60. OD <br /> TO!rAL A,$SE~SSED FEES $60.00 <br /> pREVi~S RE. El PTS ~ 105. <br /> <br /> DANCE ~E ~ <br /> PAYEE,' J~N~, JiN RECEiR'f' NO: 3265? <br /> RECEIVED BY: GL TYPE: OK CHECK ~: 0 <br /> SEE A'H'~HED ~UHENT FOR RE~iR~ENTS OF ~-817'E SENSE S~TEM. <br /> ~ THI~ IS NOT A ~IT. ~S APPLI~TI~ ~T ~ TH~ A R~ P~ ~ THE <br />~L~IN6 ~T BE ~PLBTED. ~T ~8 THE R~SJBILiTY OF THE APPL~T TO ~ THAT <br /> <br />PLAN REVIEW: BY <br /> <br />RENARKS: AUTH RAt5230 <br /> <br />DATE <br /> <br />CITY JURiSDiCI'ioN; BY <br /> <br />DA T E <br /> <br />FORM# MS 15-56 RE¥, ~VgO OFFICE COPY <br /> <br /> <br />