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MARION COUNTY BUILDING iNSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 <br />24- HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performin9 work on a property I own or occupy, <br />I am a registered builder OR { ) the authorized representative SIGNATURE OF APPLICANT; <br />of a regfstrred builder. <br />The w~rk will be performed by a registered builder, <br />Other <br />I hsve read and agree to the terms stated on tho reverse side of DATE'. <br />this document, <br /> <br /> DATE: !1/!2/92 TIME: 11:4~4:50 <br /> KRAFT, JOYCE <br /> <br />RESIDEN'I'IAL <br />OOcupANcg: <br /> <br /> 18425 BUTTEVILLE ROAD NE '~(~NT~'~'~i'¢~i 'tjrB; ;OCCUPANT LOAD: <br /> AURORA OR 97002 'MARION COUNTY ~ NO <br /> <br />USE OF BUILDING: <br /> <br />WIDTH; <br /> <br /> SITE NUMBER: 92-03860 <br />PHONE: 981-'0954 VALUATION~ <br /> <br /> BLOCK: SECTION: ; TOWNSH <br /> <br /> : ' 56 2~ EEU <br /> :DE~N: AREA: : UNITS: IRREG. LOT'. CORNER; <br /> ~ ~0. : ~C NO ; NO <br /> <br />TYPE: 0M-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />KRAFT~ JOYCE <br /> <br />PMONE: 981--0934 <br /> <br />45592 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY" <br />SITE EVALUATION ~UMBER: <br />EXISTING TANK SlZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPEO: 8/%8/'90 <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br />AUTHORIZATION NOTICE - FLO. VISIT 1 $150.00 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br />BALANCE OUE <br /> <br />$t30.00 <br />$150.00 <br /> $0.00 <br /> <br />$0.00 <br /> <br /> PAYEE: RECEIPT NO:: <br /> RECEIVED BY: PB .................................. ~.. TYPE: CHECK ~: 0 <br /> <br /> SEE ATTACNED DOCUMENT FOR REQUIREMENTS OF ON'-SITE SEWABE SYSTEM. <br /> <br />* THIS IS A VALID PERMIT · THIS PERMIT EXPIRES $60 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION FAILS TO MEET ALL REQUIREMENTS OF STATE LAthS ANO MARION COUNTY BUILOING A~D <br />ZONING ORDINANCES TMIS PERMIT SHALL BECOHE NULL ANO <br /> <br />REMARKS: <br /> <br />DONALD E. <br /> <br />AUTM - FIELD VISIT <br /> <br /> WOODLEY, MARION CO'UNTY BUILOING OFFICIAL / BY <br /> <br /> <br />