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MARION COUNTY BUILDING INSPEGTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7'904- <br /> <br /> OWNER: DATE: 09/:t, 8/E7~ <br /> BOP!% ALAN & PATRICIA <br /> <br /> 1~43~ WISEACRES LN <br /> AURORA <br />;u~6 o~ <br /> <br /> NE <br />8R 97002 <br /> <br />TAX LOT: <br /> <br />CONSTRUCT;ON 'f ~PEZ <br /> <br /> HARION COUNTY IqO <br /> <br />SUBDIVISION; <br /> <br /> RESIDENTIAL <br />OCCUP^NC¥: ' <br /> <br />WISEACRES <br /> <br />TYPE; ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR~ NO, <br />BORK~ ALAN & PATRICIA <br /> <br />PHONE: 678.-2174 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: 1800 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: 2 <br /> <br />~75 <br /> <br /> ITEM <br />AUTHORIZATION NOTICE <br /> <br /> QUANTITY AMOUNT <br />VISIT 1 $95.00 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />TNIS RECEIPT <br /> <br />$95.00 <br /> $0.00 <br />$95.00 <br /> <br />BALANCE BtJE $0.00 <br /> <br /> ~AYEE: BORK~ A~,A~,P~RICZA RECEIPT NO: 52~39 <br /> ~EE ATTA_C_~_.~O_CUMENT FOR REQUIREME?S OF ON-SITE SEWAGE SYSTEM. <br />FOLLOWI~¢MUST BE CONF'L. ETEB; IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NTSSARY INFORMATION HAS'BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY .............. QATE .... ~; ......... <br />REMARKS: AU:NOFLD <br /> <br />,CITY' JURISDICTION: BY ........ I)ATE .............. <br /> <br />OFFICE COPY <br /> <br /> <br />