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MARION COUNTY <br /> BUILDING INSPECTION <br /> <br />DATE: 08/18/88 <br /> LAIS, TON <br /> <br />TIME: <br /> <br />40623-000 <br /> <br />RESIDENTIAL <br /> <br /> 14955 4TH ST <br />AURORA <br /> <br />OR 97002 <br /> <br />NE <br /> <br />PO BO× 427 <br />AURORA 97002 <br /> <br />SITE NUNBER: 5167 <br />VALUATION: <br /> <br />100 165 <br /> <br />4S IN R-I <br />SF YES NO <br /> <br />TYPE: 0N-SITE SE~AGE <br /> <br />PERMIT OR APPLICATION NO: 10262 <br /> <br />CONTRACTOR, NO. <br /> <br />PO BOX 427 <br />~I]RORA 97002 <br />PHONE: 678-5779 <br /> <br />WATER EAJPPLY: CH <br />TEST HOLES READY: <br />SITE EVALUATION NUNBER: 79-494 <br />EXISTING TANK SIZE: <br />EXISTINS DRAIN FIELD LINES: <br />SEPTIC T,N~K PUMPEO: <br />PREVIOUS NO. DED~: <br /> <br />STANDARD ON-SITE SYSTEM <br /> <br />QUANTITY AMOUNT <br /> 1 $165,00 <br /> <br />TOTAL ASSEC:>SEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />~165,00 <br /> $0,00 <br /> <br />BALANCE DUE $0~00 <br /> <br />PAYEE: INVOICE NO: <br />RECEIVED BY: c3 TYPE: CHECK <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SY~TE. bl. <br /> <br />* THIS IS A VALID PERMIT x< THI~ PEI~IT EXPIRES 360 DAYS FROM ITS IS~.JE DATE. IF <br />CONSTRUCTION FAI[.~ TO MEET ALL REQUIREblENTS OF STATE LAHS AND MARION COUNTY BUILDING AND <br />ZONIN~ ORDINANCES, THIS PERMIT ~rLALL BECOME NULL AND VOID. <br /> <br />REMARF~: STANDARD SYSTEM {~A <br />[X~ALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY .....................~ <br /> <br /> <br />