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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, ©REGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:90 <br />24 HOUR CODE-A-PHONE: B88-7904 <br /> <br /> I am performing work On a property own or occupy <br /> lamareglsteredbuilderOR he auhorzed epresen8 ye <br /> o¢ a registered builder, <br /> The work will be performed by 8 registered builder. <br /> Other <br /> I have read and agree to the terms stated on the reverse side of <br /> this document, <br /> <br /> DATE: 11/25/92 TIME: 12:12:11 <br />OWNER'· <br /> PIERCE, TOM & BETH <br /> <br />: SITUS ADDRESS: <br /> <br /> 13047 MAPLE LEAF CT NE <br />AURORA OR 97002 <br /> <br />~,JSS OF BUILDING: <br />MAILING ASDFtESS: <br /> <br />SAME <br /> <br />PHONE: 678~1067 <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYP~ <br /> <br />5UBDIVISIOh <br /> <br /> MAPLE LEAF ESTATES <br /> <br /> BITE NUMBER: 92-04026 <br /> VALUATION: <br /> <br />CATEGORY <br /> RESIDENTIAL. <br /> <br />OCCUPANCY <br /> <br />LOT. BLOCK SECTION: TOWNSH I~= <br /> 8 2 22 43 <br />WIDTH; DEPTH AREA: <br /> 105 570 59B30. UNIT~:F <br /> <br />RANGE ZONE: <br /> <br /> PREC. LOT CORNER: <br /> NO NO <br /> <br />MAg <br /> <br />TYPE: OM-SITE SEWAGE <br /> <br />PERMIT OR APPLICATIOM NO: <br /> <br />CONTRACT0R. NO. <br />PIERCE, TOM & BETH <br />SAME <br /> <br />PHONE: 678-1067 <br /> <br />43918 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br /> EVALUATION NUMBER: <br />SITE <br />EXISTING TANK SIZE: 1000 <br />EXISTING ORAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: 5 <br /> <br /> QUANTITY AMOUNT <br />AUTHORIZATION NOTICE - FLD. VISIT 1 $130.00 <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS $150.00 <br /> THIS RECEIPT $0.00 <br /> BALANOE OUE $0.00 <br /> PAYEE; <br /> RECEIVED BY: P8 RECEIPT NO: <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE s~;;~-;~;T~T <br />· THIS Is A VALID PERMIT ; THIS PERMIT EXPIRES ~60 CAY8 FROM ITS ISSUE DATE. IF <br />CONSTRUOTION FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING ANO <br />ZONING ORDINANCES, THIS PERMIT SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: AUTHORIZATION <br /> <br />DONAI,D E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 15,56 REV, 4/30 OF FICE COPY <br /> <br /> <br />