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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: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />this document. <br /> <br />~w~i'~'E; 0?/20/90 'r.f,~E; 1,2,:38:57 <br /> ~HUEN i NG, i VAN <br /> SITUS ADDRESS: <br /> <br />TAX LOT'. <br /> <br /> 2035? HIGHNAY 99E NE ' CONTR~OTCIT~i <br /> AURORA OR 9?002 <br /> ........... lY~ARI.ON 6,hDJ, JN,'~;Y, ; NO <br />USE OF BUILDING: <br /> <br /> PHONE: 578-2700 SiTE NUMBERt 3821 <br /> VALUA'ftON: <br />LOT; BLOCK: ; SECTION: I TOWNSHIP: ~ RANGE: ZONE; <br /> <br /> 23 ~ 43 1N EF'U <br /> 1.53 : AC YES! NO <br /> <br />CATEGORY; <br /> RES i DEN ~ <br />OCCUPANCY. <br /> <br />' OCCUPANT LOAD: <br /> <br />3 <br /> <br />MAP: <br /> <br /> 5 <br /> <br />'TYPE: ON-BilE SEN/:~GE <br /> <br />PER~i'J' OR APPLICATION <br /> <br />CONTRACTOR, NO- <br />~HUENING, ~VAN <br />SAME <br /> <br />PHONE; 678~2700 <br /> <br />240?3 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />StTE EYALUATiON Nur.4BER: <br />EXISTING TANK SIZE: 1000 <br />~i~'f'iNG DRAIN FIELD LINES: <br />SEP'[iC TANK PUMPEO~ 4~0~90 <br />PREV~OLIS NO. BEDROOm: <br /> <br />3OO <br /> <br /> iTEM <br />AUTHORIZATION NOTICE - FLD. V181'f' <br /> <br />'fo:TAg AE~ES,,SED P'EES <br />PRE¥IOUS RECEIPTS <br />'f'HIS RECEIPT <br /> <br />QUAN'T'i']'Y AhlOUN]' <br /> 1 $q05.00 <br /> <br />$0_00 <br /> <br />BALANCE. DUE $0- O0 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: PR TYPE: C~ECK ~: 0 <br /> <br />SEE ATTACHED L,NLYE,1JI~IEN'f' FOR RE(,~UiRE, I.,1ENT$ OF ON-3ITE SE~,'.~AGE SY$']'ElVl. <br /> <br />* THZS I3 A VALZD PEI;~11T * THtSPERI'~lZT EXPiRE~ 3~0 DAY~F~31~I 1T8 I.I~,<~UE DATE. IF <br />CONSTRLICT[ON FAILS TO MEET ALL REQUIRE. I~IENT$ DP STATE ~ AND IWARZON COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PERI~ZT E~ALL BECOt4E NULL .aC, ID VOID. <br /> <br />REMARKS: AUf'H R~029 <br />DONALD E. WO©DLEY, ~ARION OY,.~NI]'Y BUILDING OFFiCiAL / BY~~i,,,,,,,,.,,,,. ............................. <br /> <br />OFFICECOPY <br /> <br /> <br />