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MARION COUNTY BU INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br /> ~ &m performing work On a property I own BI ocoupy. . <br /> Jam a registered builder OR( )theauthonzedreprosentatwe <br /> of a registered builder. <br /> The work will be performed by a registered builder, <br /> Other <br /> I have read and agree to the terms stated on the reverse side of <br /> ti~i~ document <br /> <br /> DATE: 10,/13/88 TIME.' 8;33:05a <br /> <br /> F.A¢SE L, ANNETTE <br /> <br />SITU~ ADDRESS; <br /> <br /> 14684 KASEL COURT NE <br />AURORA OR 97002 <br /> <br /> TAX LOT; 20448--000 I RESIDENTIAL <br /> ~Sh~UCiiON TYPE: iOCCUPANCY: <br /> <br /> CONT~ADT DIYY; i UGS; IiOCCUPANT LOAD: <br />AURORA NO , ' <br /> <br />; ~Ad,iN~ ADDRESS: SUBDIVISION: <br /> KASEL COURT <br /> 21823 AIRPORT RD NE .............................................. <br /> AURORA 9?002 <br /> PHONE: 678-1444 SITE NUMBER: 5489 <br /> VALUAT ION <br /> <br /> CT j ~L~'. :SECTION: : ~OWNSFtlP: <br /> ~ ~ 12 4S 1N ~ R~I ; <br /> <br />WmT,~ ~U~TH: ~A~*: 2.38000 .U~S~ AC NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 11134 <br /> <br />CONTRACTOR, NO. <br />KASEL, ANNETTE B <br />21~23 AZRPORT RD NE <br />AURORA 97002 <br />PHONE-- 678-1444 <br /> <br />WATER SUPPLY: ON <br />TEST HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING BRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />SITE EVALUATION, EA. ADDL. LOT <br /> <br />TOTAL ASSESSEDFEES <br /> PREVIOUS <br />THIS ~ECEIPT, <br />B'ALANCE DUE <br /> <br />QUANTITY AMOUNT <br /> 1 $145.00 <br /> <br />$145.00 <br /> $0.00 <br />$145~00 <br /> <br />$0.00 <br /> <br />PAYEE: KASEL, ANNETTE 8 , ,-, , ,:::INVOICE NO: 12565 <br />RECEIVE~ 87: c'l ......... ,==__ .; L±___]. '~PE~ IN,i; CHECK g: 0 <br /> <br />SEE ATTACHED DOCUMENT FOR REQUI~mENTS <br />............ ,........: :; ] ,, ,~, ..~ .. : <br /> <br />NOTE: THIS DOES NOT GRANT OR IMPLY PERNISSIQN,TO BUILD ON TH;~s PARCEL. PLANNING AND <br />CONSTRUCTION PEF~IITS MUST 8E 08TAINED BEFORE]BUIEDING Ol~~ SEpTIC INSTALLATION BEGINS. <br /> <br />DONALD E. WOODLEY, MARION COUNTY DUI[DING OFFiC A <br /> <br />¢O,M ,, ~c ~s-~6 ~v ~ OFFICE COPY <br /> <br /> <br />