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Permit - 1265025
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Permit - 1265025
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Entry Properties
Last modified
8/26/2011 3:05:18 PM
Creation date
9/2/2003 1:43:05 PM
Metadata
Fields
Template:
Permits
Permit Address
11002 SHAFF RD SE
Permit City
Aumsville
Parcel Number
091W08 00500
Permit Type
Permit
Permit Site Number
3584
Permit Doc Type
Permit Document
Status
Ready to Film
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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 973Q.1 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4,:30 F',M, - 8:00 A.M. <br /> <br />Omer .... <br /> <br />DATE: 02/22/88 TIME= <br />OWNER: <br /> LULAY, ADRIAN <br />~ITU$ ADDRESS: <br /> <br /> 11002 8HAFF RD <br /> AUMSVILLE <br /> <br />USE OF BUK OING: <br /> <br />TAX LOT: <br /> <br /> RESIDENTIAL <br />i OCCUPANCY: <br /> <br /> OR 97325 <br />.................. MARION COUNYY- .. ~ ..NO ; <br /> <br />2 <br /> <br />10981SHAFF RD SE <br />AUIvlSVILLE OR 97325 <br />PHONE: 769-5388 <br /> <br />TYPE: ON-$]TE SEWAGE <br /> <br />SITE NUMBER: 3584 <br />VALUATION: <br /> <br />~ IN 6RU 60 <br />! NO [ Y~ <br /> <br />PEF~IIT ORAPPLICATIONNO: 8485 <br /> <br />CONTRACTOR, NO. <br />LULAY, ADRIAN <br />10981SHAFF RD SE <br />AUNSVZLLE OR 97325 <br />PHONE= 769-5388 <br /> <br />WATER SDPPLY: PW <br />TEST HOLES READY: <br />SITE EVALLkAT10N NUNBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: WILL 8RING IN <br />PREVIC4J$ NO. 8EOF~OOf4S: <br /> <br /> IT (~J~T~ ANOUNT <br />AU O. IZATION NOTZOB - wszr .... ss .oo <br /> , TOTAL. ~ED,'EE~ $65. O0 <br /> P~I~ ~I:PTS $65. O0 <br /> RECEIPT $0. O0 <br /> ~A~CE ~E $0.00 <br />PAYEE~ <br /> ~PE <br />RECEIVED BY: ~ <br /> <br />SEE ATT~ED ~N~T FOR RE~R~TS=<O~:,~[TE/?~GE <br />* ~[S I5 A VALID PE~T * ~I8 ~[[ :~:360~:~.F~ :~ [~E ~TE. IF <br />Z~I~ O~ZN~C~. ~ZS ~ZT <br /> <br />REMARKS'. RAt8864 AUTH NOTICE , <br />DONALD E. NOODLE'C, MARION COUNTY BUILDING 0FFIOIAL / BY <br /> <br />~o~ ,* uc ~.*e R,v 6/~/ OFFICE COPY <br /> <br /> <br />
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