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MARION COUNTY BUILDING INSPECTION <br />SENATORBIOG NO 225 <br />220 HIGH STRI:F.,T NE <br /> SALEM~ OREGON 97301 <br /> <br /> PHONE: 588-5147 8::00 ~ 4::30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />DATE <br /> <br />OWN~ FEi 06/07/91 <br /> <br />'TI~E: 12:t6:53 <br /> <br />TAX LOT CATEGORY <br />CONSTPUCTION TYPE OCCUPANCY <br /> <br />RES i DbN T i AL <br /> <br /> 14'107 AL-BERS NAY NE <br />AURORA OR 97002 <br /> <br /> ALBEf,~ CRESI <br />24755 SN $SfH <br />fUALAI IN, OR 9?062 <br />PHONE: 838-8291 SITE NUF~ER: 13087 <br /> <br />WIt>TH 1 DEPTH I AREA 1? UNit'S 4S innEm LOT 1~ CORNER <br /> <br />NO YES <br /> <br />I'YPE: ON-Sif'E SEYb~.GE <br /> <br />PERMIT OR APPL1CAI 10N NO: 32498 <br /> <br />CON fRACrOR, NO+ <br />DIN HO'C4ES <br />24755 SN 55FH <br />IUALAFIN, OR 9'/082 <br />PHONE: 638-8291 <br /> <br />WArER EUPPLY: CN <br />1EST HOLE~ R~OY: <br />SITE bYALUATioN NUffI~ER: 10483 <br />~iSllNG T~K SIZE: <br />~IS'FiNG D~iN F[gLD LINES: <br />~EPTiC 'I'~K PU~PED: <br /> <br />STANDARD ON-SIrE S'fc.'.'.'.'.'.'.'J~rl~r24 1 <br /> <br />IO')'AL A,,'5~ED FE~ <br />PREWiOJS RECEIPTS <br />THiS RECEiPI <br /> <br />BALANCE I~JE <br /> <br />Af'CJUNI <br /> $165.00 <br /> <br /> ~165.00 <br /> 165.00 <br /> $0.00 <br /> $0.00 <br /> <br /> PAYgE: iNVOICE NO; <br /> RECEIVED BY: el TYPE: CHECK ~t: 0 <br /> <br /> SEE AttACHED r.vocur4~4f FOR REqUiR~IEN'fS OF ~-slrE SEW~E <br /> <br />$ THIS iS A VALID P~IT ~ ~15 PE~IT ~PIR~ 360 ~ F~ ITS I~E ~TE. <br />~ST~CTi~ PAI~ TO ~ ALL ~I~T~ OF STATE ~ ~D ~RI~ <br />~IN60RDIN~C~, THI~ ~IT ~L B~E ~LL ~O <br /> <br />RF.J~NR~: SEPTIC 1N~TALLAIioN <br /> <br />DONALD b. ~OODLEY, MARION COUN'YY BUILDING OFFICIAL / BY ......................... <br /> <br />FOR~ ~ uc ~-s~ ~cv ,u~ OF F[CE COPY <br /> <br /> <br />