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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREE? NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />) Other <br /> <br />OWNS'rE: 04/01/91 TIME.+ 9=21:49 <br /> INAI'ERS, 8R~AN <br />: SITUS ADDRESS: <br /> <br />75300-1 <br /> <br />RESIDEN'I'iAL <br /> <br /> 8633 "A" r:~rfAN ~,..~JARE RD <br /> AUCClSVILLE OR 97325 <br />USE OF BUlL. DING: <br /> <br />CONTRACT CITY: UGLY: <br />I'~tAR-i CW, ,~N'i:¥ ·: <br /> <br />! OCCUPANI LOAD: <br /> <br /> NO 0F 8EDR00MS: <br /> <br />5A~4E <br /> <br />PHONE; 363-459'1 <br /> <br /> 13 <br /> <br /> 121 285 34485_ <br /> <br /> 12621 <br /> <br /> AR5 <br /> <br />NO: NO <br /> <br />MAP: <br /> <br /> 49 <br /> <br />I'¥PE: ON-SiTE SEWAGE <br /> <br />PER~iI' OR APPLICAI'iON NO: <br /> <br />CONTRACTOR, NO. <br />WATERS, BRIAN <br /> <br />PHONE; 363-459? <br /> <br />9031249 <br /> <br /> PW <br /> HOLES READY: <br /> EVALUATION NUMBER: <br /> 'rING 'rANK sizE, looo <br />STING OP,~AIN FIELD LINES: <br /> 'rANK PUMPED: 3-20-91 <br /> NO. BEDRO~; <br /> <br /> iTEM <br />AU'rHORIZA'TION NOTICE - FLB. <br /> <br />PAYEE: WA'I'ER~, BRIAN <br />RECEIVED BY: ~ <br /> <br />SEE A'r'FACHED [X;X~MENT FOR <br /> <br /> THIS IS NOT A PEI~IT. <br />FOLLO~IN6 i~T BE <br />AI_L NSO'B~f INFOf~TION <br /> <br /> ' l'O'fAL AC~S~EO FEE~ <br />.: PRCVtO, JS RE'OEIP'FS <br /> 'FHiS RECEIPT <br /> <br />QUANTITY ANOUNf <br /> <br />$105.00 <br />$o.oo <br />$1o5.oo <br /> <br />BALANCE lllE $0.00 <br /> <br />RECEIPT NO: 33000 <br />TYPE: CK CHECK ~: 5320 <br />ON'~:~IT:E SENAGE sYs'rs.¢4. <br /> <br />PLAN REVIEW: BY <br /> <br />RERARKS: AUTH R~5320 <br /> <br />DATE <br /> <br />CITY JURI$OICTION: BY ............................ DATE <br /> <br />FORM # MC 1 ~-56 REV, 4Z90 OF FICE COPY <br /> <br /> <br />