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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 <br />CODE-A-PHONE 4:30 RM. - 8:00 A,M, <br /> <br />DATE: 03/08/90 TINE: 12:03;25 <br /> O T W HOMES <br /> <br />SIGNATURE OF APPLICANT; <br /> <br /> 20~48-000 RESI DENTIAL-i ,: <br /> <br /> 14684 KASEL COURT NE <br />,AURORA OR 9?002 <br /> <br /> CONT~A~ 6IT;/:UGB: i' OCCUPANT LOAO; <br />,AURORA NO <br /> NO, OF BEDROOMS; <br /> <br />24756 ~ 85TH <br />TUALATIN OR 97062 <br />PHONE: 638,¢829! <br /> <br />4 1 12 4S <br /> 2. 38000011 AC <br /> <br />KABEL COURT <br /> <br />SITE NUMBER: 5489 <br />VALUATION: <br /> <br /> 1N R~] 3 <br /> NO NO <br /> <br />8 <br /> <br />q~'.PE: ON.~SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 22090 <br /> <br />CONTA~CTOR, NO. <br />O T N HONE5 <br />24?55 SN 65TH <br />TUALATIN OR 97062 <br />PHONE: 638-8291 <br /> <br />MATER SUPPLY: C~ <br />T~ST HOLES READY: <br />SITE EVALUATION NU?,'IBER: 11134 <br />EXISTING TANK ~ZE= <br />EXISTING D~AIN FIELD LINE, St <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOIV~: <br /> <br /> ITEM QUANTITY A,r4OtJNT <br /> STANDARD ON-SITE SYSTEM '1 $165. O0 <br /> <br /> TOTAL ASSESSED FEES $165.00 <br /> PREVIOUS RECEIPTS $165.00 <br /> TH ~,~. RECE~ PT <br /> <br /> BALANCE DUE $0.00 <br /> <br /> PAYEE; INVOICE NO; <br /> RECEIVED BY.- CL ................................ ~'vPE: CHEC)~ ~f: 0 <br /> <br /> SEE ATTACHED DQCUM,ENT FOR REQU~RFJ~tENTS OF ON-SITE .~ENAGE SYSTEM. <br /> <br />~ THIS IS A VALID PER,lIT ~ ' THIS PEf;~IT EXPIRES 380 DAYS FROtwl ITS ISSUE DATE. IF <br />CCNSTRUCTION FAIL~ TO MEET ALL .REQUIREMENT~ OF STATE LAWS AND MARION COUNTY BUILDING AND <br />ZONING ORDINANCES? THIS PEi;~IT SHALL BECOME NULL AND VOID. <br /> <br />RE~ARKS ,' PERr4IT ~ <br />OONAL. D E- NOODLEY, MARION COUNTY BUILDING OFF"ICIAL / 8Y ........... ................................................................... <br /> <br />OFFICE COPY <br /> <br /> <br />