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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLOG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />PHONE: 588-5147 8:00 - 4:$0 <br /> <br /> BORK.~ ALAN & PATRICIA ! , RESIDENTIAL <br />i AURORA , OR ~7~e2 ~AR~:ON COUNTY NO <br /> <br />t ; WISEACRES <br /> <br /> SITE HUNBE~ <br /> PHONE: 678-2174 VALUATION: <br /> <br />;LOT: ~'~'8~Ri ~'~OTJS~ ;TOWNGN P i RANGE'. · ZONE; ~ MAP; <br /> <br />TYPE: OH-SITE SEWAGE <br /> <br />PEEMIT OR APPLICATION NO: <br /> <br />CONTRA~TOR~ N0. <br />BORK~ ALAN & PATRIC;~A <br /> <br />PHONE: 678-2174 <br /> <br /> WATEE SUPPLY: PW <br /> TEST HOLES READY: <br /> SITE EVALUATZON NUMBER: <br /> EXISTING 'fANE SIZE; ~,008 <br />EXISTING DRAIN F~EL~ LZNES; <br />SEPTIC TANK ~UHPE~= <br />' PREVIOUS NO, BEDROOMS: 2 <br /> <br />375 <br /> <br /> ITEM QUANTITY AMOUNT <br /> AUTHORIZATION HOTICE -NO VISIT 1 ¢95.00 <br /> TOTAL ASSE$,3r'D FEEs $75. ~8 <br /> PREVIOUS: RECEIPTS $8,8~ <br /> THIS RECEIP'[ $95. e8 <br /> <br /> BALANCE ~UE $8,, ~ <br /> : <br /> PAYEE: BORE~ ALA~[~.P~RIGI~ : : REGEIPT NO: 52~ <br /> RECEIVS~ BY: CL ~ ~ TYPE: CE CHECK $: 5177 <br /> <br /> SEE ATTACHE~ DOB J~ENT <br /> * THIS I5 HOT A PERHIT, THIB THROUGH A EEVIEW PROCESS WHERE THE <br />FOLLOWI~I6 HUS~ BE 60HFLE1E~.' ' " ~T :IS THE :~ESPONS];B[~ITY OF THI~ APPI..ICANT TO ASSUEE'" THAT <br />ALL NECESSARY INFOEHATION HOS :BEEN PROVIDED. <br /> <br />PI,.AN REVIEW: BY ........... ;;,..~, :DATE_~,;=2;::::.,,::=:,_~, CITY, JUEISDIC'f'ION: ,BY .............. I)ATE ............................. ~ <br />RI=":HARI~:S: AU: i,ISFL. 1) <br /> <br /> OFFICE COPY <br />FORM ~ MC 15.56 REV, <br /> <br /> <br />