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Permit - 1267316
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Permit - 1267316
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Entry Properties
Last modified
1/25/2011 2:59:00 PM
Creation date
9/2/2003 3:08:55 PM
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Template:
Permits
Permit Address
8489 MILL CREEK RD SE
Permit City
Aumsville
Permit Type
Permit
Permit Site Number
5497
Permit Doc Type
Permit Document
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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />DATE,; .09/'J4,/88 "riME;. 11; 59 :.02a <br /> <br /> NICHOL, DOUGLAS & ~,LIRITA <br /> <br /> 9489 MILL CREEK RD <br />AUIqSVILLE OR 97325 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P,M, - 8:00 A,M, <br /> <br /> STAYTON, OR 9?383 <br /> PHONE: 769-7248 <br /> <br />LOT !~LO~K: <br /> ~ 31.0000 <br /> <br /> TAX LOT; CATEGORY: <br /> RES I DENT ~ AL <br /> CONSTRUCTION TYPE: <br /> ~ OCCUPANCY; <br /> <br /> SITE NUNBER: 549? <br /> VALUATION: <br />ToWNsHiP: .................................: RANGE : ZONE: MAP; )i <br /> 8S <br /> <br /> AC NO NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO= 9011153 <br /> <br />CONTRACTOR, NO. <br />NICHOL, DOUGLAS & MAURITA <br />924 NORTH DOUGLAS <br />STAYTON, OR 97383 <br />PHONE: 769-?248 <br /> <br />NATER SUPPLY: PH <br />TEST HOLES READY; YES <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES~ <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOf4S: <br /> <br /> ITEM <br />SITE EVALUATION, <br /> <br />FIRST LOT .,f~%<30 <br /> <br />TOTAL:ASSE3LSEDFEES <br />PREVIOUSRECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY <br /> 1 <br /> <br />AMOUNT <br /> $175.00 <br /> <br /> $175.00 <br /> $0.00 <br /> $175.00 <br /> <br /> $o.oo <br /> <br />PAYEE= NICH?L,. DOUGLAS & IvLAURITA ~ ...-"~ :RECEIPT NO*- 11870 <br />SEE ATTA~ED ~UMENT FOR REQU[R~ENT <br /> <br />NOTE: TH~S ~ NOT~T OR ZNPLY <br /> <br />RE~ARKS: SITE ~AL N~ R~. R~4854 <br /> <br />OFFICE COPY <br /> <br /> <br />
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