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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 2~5 <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: 05/01/90 TINE: 8:32:54 <br /> DTN HONES <br /> <br />20448-000 <br /> <br />RESIDENTIAL <br /> <br /> 14694 KASEL COURT <br />AURORA OR 97002 <br /> <br />USE OF BUILDING; <br /> <br />24?55 SH 65TH <br />TUALATIN, OR <br />PHONE: 638-8291 <br /> <br /> CON~ACT CITY; <br /> <br />AURORA <br /> <br />5 I 12 <br /> 2 + 38000011 <br /> <br /> OCCUPANT LOAD: <br /> <br />NO <br /> <br /> SITE NUMBER= 5490 <br /> VALUAT ION: <br /> RANGE'. ZONe: : MAP'. <br /> <br />4S 1N R-1 <br />AC NO NO <br /> <br />TYPE: ON-SITE S~1NAGE <br /> <br />PEP~4IT OR APPLICATION NO: 23061 <br /> <br />CONTRACTOR, NO. 35815 <br />CANBY EXCAVATING <br />122 NE 4TH <br />CANBY, OREGON 97002 <br />PHONE: 266,-2792 <br /> <br />HATER SUPPLY.- CI <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: 11135 <br />EXISTING TANK SIZE; <br />E~ISTING DRAIN FIELD LINES'. <br />SEPTIC TANK PUMPED~- , <br />PREVIOUS NO. <br /> <br /> ITEM <br />STANDARD (IN-SITE SYSTEN <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />....... QUANTITY ........... <br /> AMOUNT <br /> 1 $185.00 <br /> <br /> $165.00 <br /> $165.00 <br /> $0.OO <br /> <br /> $0+00 <br /> <br /> 0 <br /> 0 <br /> <br />PAYEE: INVOICE NO.+ <br />RECEIVED 8Y~ CL TYPE: CHECK ~,:* <br /> ..... "-~':'""'"'-'- --" ...... '-:r .............. · -: ............ , ............ <br />SEE ATTACHED DOCUMENT FOR RE(~J!REMENTS OF ON-SITE SE-WAGE'SYSTEM. <br />~ THIS IS A VALID PERI~IIT * 'THIS PERMIT EXPIRES ,360 DAYS FR0N "ITS IG~JE DATE. IF <br /> <br />RID, lARKS: NE~ SEPTIC INGTALLATION <br /> <br />DONALD E. WOODLEY, MARION COUNTY IBUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />