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MARION COUNTY BUILDING INSPECTION <br />SENATOR BL'OG NO' 225 <br />220 ~IGH STJ~EET NE <br /> SALE¢~ OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 8::00 AM <br /> <br />DATE: 03/08/89 TIME; 10:14:5ta <br /> <br /> DAN I EL,~ON, ~VAN <br /> <br />15393-211 <br /> <br /> 9803 FRIENDLY ACRE~ <br />AUNSVI LLE OR <br /> <br />USE OF BUILDINO <br /> <br />97325 <br /> <br />MARION COUNTY NO <br /> <br />SUBDIVISION <br /> <br />39394 BROCK DR. <br />,~IO, OR 9?3?4 <br />PHONE: 394-2379 <br /> <br />5.00000 <br /> <br /> SITE NUMBER: <br /> VALUATION <br /> <br />8S 1W <br /> IRREG LOT <br />AC NO <br /> <br /> RESIDENTIAL <br />OCCUPANC~ <br /> <br /> 2 <br /> <br /> 6685 <br /> <br />ZONE MAP <br /> AR5 <br /> NO <br /> <br />TYPE; ON-SiTE <br /> <br />~ OR APPLICATION NO: ~014373 <br /> <br /> T :TOR, <br /> DANIEL.!B3N, <br /> 39394 8~K DR. <br /> <br /> ~E: 394-23?9 <br /> <br />HATERS UPPLY: Pgl <br />TEST HOL~ READY~ 6-22-78 <br />SITE EVALUATION NU~ER: 79-2078 <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. 8EDROOMS: <br /> <br /> ITEI~ <br />STANDARD ON-SITE SYSTEM <br /> <br />TOTAL ,~.,~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />(QUANTITY A~NT <br /> 1 $165.00 <br /> <br />$165.00 <br /> $0.00 <br />$165.00 <br /> <br />BALANCE DUE $0,00 <br /> <br />PAYEE: DANIEL,SOq, EVAN RECEIPT NO: 15247 <br />RECEIVED BY: pr* TYPE: OK CHECK ~: 7 <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SE-'NAGE SYSTEN. <br /> <br />~ T,;;~, i ..... · *, y~ THIS PEi~IT EXPIRI~S 360 DAY~ FR~4 ITS IExSUE DATE. IF <br />(~I~JCTION FAILS TO MEET ALL REf2UIPJEME~IT~ OF STATE ~ AND DtARION ~ BUILDIN~ <br />Z~Z~ ORDI~, ~IS PE~IT ~L B~ ~LL ~O <br /> <br />~ALD E. ~DL~, ~RZ~ ~NTY BUILDING OFFZCZAL / 8Y~~ <br /> <br />FOnM # MC: 1[-~6 RE¥ II'.~ OFFICE COPY <br /> <br /> <br />