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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 PM - 8::00 A M <br /> <br />DATE: (01/27/89 i) TIME: <br /> SMITH, JOHN F <br /> <br />TAX LOT <br /> 90190~400 <br /> <br />RES I DENT J: AL <br /> <br /> 20852 ~FILBERT ST NE OONTRACTCITY <br />AURORA OR 97002 <br /> AUROR~ <br /> <br />NO <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF BEDROOMS <br /> <br />3 <br /> <br /> SAME <br /> <br /> PHONE: 65?-52?9 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> <br /> 9 4 13 <br />WIDTH L)EPTH AREA UNITS <br /> <br /> 5!5 90 4950.00 <br /> <br /> SITE NUMBER: 8442 <br /> VALUATION: <br /> RANGE ZONE <br /> <br />4S 1~ <br /> IRREG LOT CORNER <br />SF NO NO <br /> <br />TYPE, ON-SITE SEWAGE <br />PERMI'F OR APPLICATION NO: 9013740 <br /> <br />CON ]-P-.~C FOR, NO. ,~O~,,,..(~ <br />"SMI'FH, JOHN F <br /> <br />PHONE: 557-52?9 ~""~ '" <br /> <br />WATER SUPPLY: CW <br />TEST HOLES READY; <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE; ?50 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: 1-19-89 <br />PREVIOUS NO, BEDROOM¢'~: ! <br /> <br /> ITEM QUANT I TY AMGUN <br />AUTHORIZATION NOTICE ,,- FLD. VISIT 1 $105_00 <br /> <br /> TOTAL ASSESSED FEES ~; 105,00 <br /> PREVIOUS RECEIPTS $0,00 <br /> THIS RECEIPT $105,00 <br /> <br /> BALANCE DUE $0 30 <br />PAYEE: SMITH, JOHN F INVOICE NO: <br />RECEfVED BY: c:] TYPE: IN CHECK ~ 0 <br /> <br />SEE ATTACHED DOCUMENT FOR RETIREMENTS OF ON~-S[TE S~AGE SYSTEM. <br /> <br />* ~IS IS NOT A PE~IT, ~IS APPLICATI~ ~ST ~ ~ A R~I~ P~E~ ~ERE ~E <br />FOLL~ING ~ST BE ~PL~ED. IT IS ~E R~SIBILI~ OF THE APPLIC~T TO ~RE ~AT <br />ALL NECE~ [NFO~TI~ H~ 8E~ P~VIDEB. <br /> <br />PLAN REVIEW: ............ CITY JURISDICTION: BY ............. D&TE_ ............... <br />R[~ARKS ~ AUTH <br /> <br />OFFICE COPY <br /> <br /> <br />