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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STP. EET N~ <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 58E-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 58847904 <br /> <br /> Other <br /> I have read and agree fo [he terms stated on the reverso side of <br /> <br />L)A'T'E: 0'i/07/92 'r ih4E: 9:32;53 <br /> OONNELLY, ¢ A <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE: <br /> <br /> 14827 EHLEN RD <br />AURORA OR <br /> <br />8?002 <br /> <br />!~RJ~. <br /> <br />SU 8DIVISION: <br /> <br />LOT; BLOOK: <br />!45: <br /> <br />225 <br /> <br />AREA: <br /> "J2525. <br /> <br /> SlT'E NUI'4BERt 92~00208 <br /> VALUAT ION: <br /> RANGE; ZONE: <br /> <br />U NI¥~: iRREG. LOTI CORNER; <br /> 5F' NO NQ <br /> <br /> RESi DEN f' <br />OCOURANCYI <br /> <br />OCOUFAN~ LOAD: <br /> <br />MAP; <br /> <br />tYPE: ON-Si fE ~I'.,~WAGE <br />r-~ERffll'r OR APPLZCAr,(oN <br /> <br />C'QN't RACf'OR, NO). <br />igONNC:,LLY, D A <br /> <br />~A]'~R SUPPLY: <br />TEST HOLES READYt <br />SI[E EVALUATION NUNIBER: 35022 <br />g~.tS'flNG 'tANK ~iZE: <br />EXISTING DRAIN F~E[,O LINES: <br />~EP'f'IC TANK <br />PREVIOU~ NO. <br /> <br /> 11' EtVl QUANT I 'IY ¢,~OLIN '/ <br />SE < 6 ~ON'rH;5 OLD I $1!5.00 <br /> <br />TO]'AL ABSE~ED FEgS <br />PR~¥iOUS RECEIPTS <br />THiS RECEIPT <br /> <br />$115.00 <br /> <br />BALANCE ~.JE $0, O0 <br /> <br />PAYEE: INVOICE NO: <br /> <br /> P. EC~:iVBD BY; CL ..................................................................................................................... TYPE: CHECK ~; ti <br /> <br /> SEE A'~'IACHEO OO(,]UlViEN'f' FOR REQUiREMENT5 DP' ON-si'rE 5EPiAGE SY~'f'Ef'4. <br /> <br />~ 'I'HI.S IS A VALID PER~i'I' ~ THI;S PERRIT I!EKPIRE5 380 ~)AY8 FROR ,(TS 1.5ZCJE OA'i"E. IF <br />CONeTR1.,ICTiON FAiL~ TO f4EE]' ALL RE(~.Ij[REI~ENTS OF ~'rATE LANS AND I%ARI. ON COUNTY 8U,(LOiNG ANO <br />ZONING ORBINANCES. rH~$ P¢RR~'r ,~HALL BEOOf~E NULL. AND VOID. <br /> <br />REr4ARKS: PER~Ii 'f ~ <br />OONAI_D e}:_ wrJQ£)L~Y, ?]AF~ION COUN'rY 8UiLDiNG QF'F'~CIAL. / 8Y ............................................ <br /> <br /> OFFICE COPY <br />FORM ~/MC 15-56 REV. 4/90 <br /> <br /> <br />