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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STCLEET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: ~88-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> DALE-' 01/02,/92 f,tME: ]5:32:3'] <br />OWNER: <br /> OONNI'-'LLY, O A <br /> <br />TAX LOT: <br /> 4043'?-000 <br /> <br />CONSTRUCTION TYPE: <br /> <br />CATECORY. <br />QCCUPANC~ <br /> <br />RESIOEN/!AL <br /> <br /> 14(52'7 EHLEN ,ND NE <br />A, RORA C)R 97002 <br /> <br />USE OF BLJ~LDING: <br /> <br />CONTBAC'r CITY UO~ <br /> <br />AU RORA <br /> <br />OCCUPANT LOAD <br /> <br /> PHONF,'; Si / L: '4UMbeR: /J-064 <br /> VALUAI" <br /> <br />LO'f. BLOCK: SECTION. TOWNSHIP: RANGE: ZONE· <br /> !2 4S , 1W <br /> <br />WIDTH: 14$DEPI'H 225 AREA. 32625. UNITS· S~ IRREG. LOT: NO <br /> <br />MAP: <br /> <br />'TYPE: ON-S.iI'E SEWAGE <br /> <br />PERMif OR APPLICATION <br /> <br />('.-'ON 'f' ~,AC 'f (,,) R, NO. <br />DONNEL, LY, D A <br /> <br /> MATER SUPPLY= <br /> 'I'ESf H[)L~ RL"AOY: <br /> 903??86 SI'f'F; ~ALUAf'~QN NUMBER; ~5022 <br /> <br /> EX~S'T~NG D~JN F~ELD LINES; <br /> SEPTIC 'f'~K <br /> PREV LOU~ NO_ <br /> <br />PHONE:~ <br /> <br /> i ~ c,, QUANT <br />SE: < ,5 MONFH~ OLP' /~,j $1'15.00 <br /> O,~ TOTAL ASSE~ED F'EES $ <br /> PREVIOUS RECEIPTS <br /> "i'HfS RECEIPT $'1 f 5,00 <br /> <br />BALANCE OUB <br /> <br />PAYEE:: OCNNELLY, D A .I,I'4VOICE NO; ~9';¢[~1 <br /> <br /> RECf~.fv'(%) E~Y: CL. . .................................................................................................................... Typic:; iN CHECK ~: 0 <br /> <br /> LE~I:.' AF'/ACH~D OEX;UM,E,N'f' FOR R~IREMP~'F'S OF ~-Si'FE SEWAGE SYSTEM, <br /> <br />* THIS i$ NOT A PE~iT_ 'rHi~ APPLIOATi~ ~T ~ TH~ A R~i~ P~ ~RE '[H~ <br />FULL. lNG ~'F B~ ~PLETED. it IS THE R~SIBILiTY OF THE APPL~T TO ~RE THAT <br />ALL NEC~ARY ~NFO~TI~ H~ BE~ P~VlO~D. <br /> <br />B'EMARKS: PERM ;[ T <br /> <br />Ci'fY JUR.[BD.C[].ON: 8¢Y DAlE <br /> <br /> <br />