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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SAUEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:0o - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> 05/15/90 TIME: 15.+42: 57 : TA× LOT: CATEGORY: <br /> <br />ADDRESS~OHU~.,~ '( N~..~ V.~J~ CON¢'f'RUCTION ~YPE: : OCCUPANCY: <br /> <br />RE~iBENIIAL <br /> <br /> : CON~R~C~ CITY: ', OGB: OCCUPAN~ LOAD: <br /> <br /> 20357 HI[~AY 99E NE ; <br />us~: OR "'9~002 ', ~ <br /> ~R~ C~NTY NO <br /> <br />SA~4E <br /> <br />PHglNE: 6?8-2?00 <br /> BLOCK: <br /> <br /> ....... ~ 3821 <br />SECTION: i TOWNBNIP: , RAN~,LUA'r ION ~i ZONE: MAP: <br /> <br />TYPE: ON~BI'I'E SEWAGE <br /> <br />PER~'i' OR APPLICAT~0N NO: <br /> <br />CON T P~C;'¥OR, NO, <br />SCHUEN ~NG, IVaN <br /> <br />PHONE: 8?8-2?00 <br /> <br />9024073 <br /> <br />IAATER ~UPPLYz <br />TF_~'r HOLE~ READY: <br />BITE EYALUATION NUIVlBER: <br />P.~(iSTiNG TANK SIZE: 1000 <br />~iBTiNG O~iN FIELD blN~: <br />~EPTIC '['~K ~NPED: 4-~o-go <br />PREVI~S NO. <br /> <br />3OO <br /> <br /> 1 T EM <br />AUTHORIZATION NOTICE - FLD. vi$1'r <br /> <br />TOTAL A~SEf;~D FEES <br />PR~¥i~JBREC~iPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />Q'tJAN'f'iI'Y ANOUNT <br /> $~05.00 <br /> <br /> $105.00 <br /> $0.00 <br /> $105.00 <br /> <br /> $0.00 <br /> <br /> 25508 <br /> ?42 <br /> <br />CiTY JURISDiCTiON; BY ............................ DATE ........................ <br /> <br /> PAYEE: ~U~NING, IVAN // RECSlP'~ NO: <br /> <br /> ~g~ ATTACHED DOCU~F.~'I' FOR RE~)[REMENT~ OF ON-~iTE SEHAGESYS'fF_J~. <br /> <br />~LL~[N6 ~ST BI ~PLB¢~ IT [~ THE ~IB[L~TY OF THE APPL[~T TO ~ THAT <br />ALL N~ IN~TI~ ~ B~ P~IOED+ <br /> <br /> PLAN REV[~: ~Y,.......~: ............ DATE .................................. <br /> RE~R~: AUfH ~2029 <br /> <br /> OFFICE COPY <br />FORM # MC I ~-~6 REV, <br /> <br /> <br />