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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 235 <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 />Other <br /> <br />[UA/E <br /> <br />ow~TE: 06/06/89 TIME: <br /> <br /> PYTHIAN BUILDING <br /> <br />COYC4ERC IAL <br /> <br /> 14979 SECOND ST <br /> AURORA <br />USE OF BUILDING <br /> <br />OR 97002 <br /> <br />AURORA <br /> <br />UGB <br /> <br />NO <br /> <br />O0t~UPANT LOAD <br /> <br /> NO OF RFOROOMS <br /> <br />SUBDIFISION <br /> <br />PHONE; <br /> <br />WIDTH <br /> <br />SECTION <br /> <br />AREA <br /> <br />I 2 UN*TS <br /> <br />4S <br /> <br />AC <br /> <br /> SITE NUMBER: <br />~^~e~/ALUATION: ZONE <br /> <br />B825 <br /> <br />NO NO <br /> <br />MAP <br /> <br />TYPE: ON-SITE SENAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />PYTHIAN BUILDING <br /> <br />15592 <br /> <br />WATER SUPPLY*. C~ <br />TEST HOLES READY: <br />SITE EVALUATION NU~ER: <br />EXISTING TANK SIZE: <br />EXISTING SPRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />STD ONSITE SY$ < 1000 GAL <br /> <br />TOTAL ASSESSED FEES <br />PREW IIOUS REOEI PTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />PAYEE: PYTHIAN BUILDING <br />RECEIVED BY: c] <br /> <br /> QUANTITY AMOUNT <br /> 1 $165.00 <br /> <br /> $165.00 <br /> $80~00 <br /> $85.00 <br /> <br /> $o,0o <br /> <br />INVOICE NO~ 17554 <br />TYPE: IN CHECK ~. 0 <br /> <br />SEE ATTACHED DOCUMENT FOR :REQU'tREt'4ENTS OF ON-,,SIT <br />* THiS IS A VALID PEFC¢IT :¢: 'E4J[E~PERMiT :EXPIRE~ 360 DAY8, .FR~ ITS ISSUE DATE. IF <br />Z~iNS~oC~i~A~FAcILS TO .F_ET ALI,,, REOUIRE~IENTS OF STATE LaC48,AND tflARION COUNTY IDUTLDING ANO <br /> CB,. THIS PF.R~IT:,~L BECO~IE.'NULL AND VOID.:,:,, <br /> <br />RE,lARKS; MAJOR REPAIR/DRAINFISLD <br /> <br />DONALD E_ NOODLEY, ~RION COUNTY BUILDING OFFICIAL / BY <br /> <br />COreM ,, Mc ~-5~ REV .,~ OFFICE COPY <br /> <br /> <br />