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MARION. CO~.NTY 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 AM <br /> <br /> f am ¢orforming work on a property I own o~ occupy <br /> I am a regIstorod builder OR ~ ) the authonzed repreEentab¥o <br /> of a registered buffdef <br /> Tho work ¢411 be performed by 8 reglSterod builder <br /> Oti~or <br /> I hBvo roBd and agree to the terms stated on the ¢evotso Bide of <br /> this documont <br /> <br /> DATE; 05/15/89 TIME.' 11:21:58a <br />OWNER <br /> SMITH. JOHN F <br /> <br />SITUS ADDRES~ <br /> <br />90190-400 <br /> <br /> 20852 FILBERT ST <br /> AURORA <br /> <br />USE OF tEUILDING <br /> <br />OR 9?002 <br /> <br />NE <br /> <br /> CONTR &CT CiTY <br /> <br />AURORA NO <br /> <br />8UBDIvlSON <br /> <br />RESIDENTIAL <br /> <br /> SAME <br /> <br /> PHONE= 657-5279 <br /> <br />LOT BLOCK <br /> 9 4 <br /> 55 90 <br /> <br />SECTION TOWNSHIP <br />12 <br /> <br /> 4950.00 <br /> <br /> SITE NUMBER: 6442 <br /> VALUAT I ON: <br /> AAN~E ZONE <br /> <br />4S 1W <br /> <br />SF NO NO <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF BFDROOM~ <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO+` <br /> <br />CONTRACTOR, NO. <br />SMITH,. JOHN F <br />SAME <br /> <br />PHONE: 657-5279 <br /> <br />1374,0 <br /> <br />WATER SUPPLY: ON <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER+. <br />EXISTING TANK SIZE: 750 <br />EXISTING DRAIN FIELD LINES+` <br />SEPTIC TANK PUMPED: 1-19-89 <br />PREVIOUS NO. BEBROOMS: 1 <br /> <br /> ITEM <br />AUTHORIZATION NOTICE - FLD. VISIT <br /> <br />PAYEE: <br />RECEIVED BY: cq <br /> <br />TOTAL ASSESSED FEES <br />PREVIOLIS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE BUE <br /> <br /> 0UANTITY AJviOUNT <br /> 1 $105.00 <br /> <br /> $105.00 <br /> 105.00 <br /> $0.00 <br /> $0.00 <br /> <br />INVOICE NO: <br /> <br /> TYPE: CHECK ~: <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM_ <br /> <br />* THIS IS A VALID PERMIT ~ ~IS ~IT ~I~ 360 ~ F~ ITS I~E ~TE. IF <br />~T~CTI~ FAI~ TO ME~ ALL ~I~TS OF STATE ~ ~D ~I~ ~N~ BUILDING ~D <br />Z~ING ORDIN~C~, ~IS ~IT~LL 8~E ~LL ~D <br /> <br />REMARKS: AUTH - OK'D BY DEQ <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / 8Y <br /> <br /> <br />