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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO. 225 <br />220 HIGH STREET NE <br /> SALEM: OREGON 97301 <br /> <br /> PHONE:: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />11/15/90 TIME: <br />L~It~N, CLYDE <br /> <br />8;53~55 <br /> <br />T~× LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />406?2?-0OO <br /> <br /> 15066 <br />AURORA <br /> <br />3RD ~ I~ NE <br /> <br />OR 9'1002 <br /> <br /> CONTRACT CITY UGB <br />AURORA NO <br /> <br />SUBDIVISION <br /> <br /> CATEGORY <br /> <br /> RESI OENi iAL <br /> <br />' OCCUPANT LOAD <br /> <br />LOT BLOCK <br /> <br />SECTION <br />AREA <br /> <br /> TOWNSHIP <br /> <br />12- <br /> UNITS <br /> <br />[YPE: ON-SITE SEWAGE <br /> <br />PgRMII OR APPLiO~'f'I(~ NO: <br /> <br />CONTRACTOR, NO. <br />L~IDMAN, CLYDE <br /> <br />PH(,,AN E; 682-1783 <br /> <br />29592 <br /> <br />WAIER EAJPPLY: CW <br />TES1HOL~ READY: <br />SITE EYALUATION NUf~IBER: 85-618 <br />EXIS")'ING TANK SIZE~ <br />~..~ISrING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED; <br />PR~IOUS NO, BEO~: <br /> <br /> i1EM QUANI'ITY <br />ST'ANOARD ON-SirE SYS1P3v~ 1 <br /> <br />PAYEE: <br />RE. CEiVEO BY~ cl <br /> <br />TOTAL ~EEx~ED FEF..,~%' <br />PREWiOOS RECEiP"fS <br />THIS RECEiP1 <br /> <br />BALANCE [XJE <br /> <br />$165.00 <br /> <br />~165.00 <br />155.00 <br /> $o.ou <br /> SO.OD <br /> <br /> 0 <br /> 0 <br /> <br /> INVOICE NO.* <br /> TYPE: CHECK <br /> SEE AIIACHED O0,CUM~T FOR RE(I/JiREt4ENT~ 01: ON-SiTE 8E~',~,~E <br /> <br />* 'rHl~ IS A VALID PE~IT * THIS PE~iT ~PiR~ 360 ~ <br />~BT~CTi~ FAI~ TO MEET ALL R~I~TS OF STATE ~ <br />Z~ING ORDIN~C~, THi~ PE~iT ~ALL B~ NULL ~D ~ID. <br /> <br />R~RKS: iNCS'rALLAIiON PER, Ir <br />D¥~NAL-D E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ................~ <br /> <br />OFFICE COPY <br /> <br /> <br />