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MARION <br /> <br /> BUILDING INSPECTION <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 OODE-A-PHONE: 588-7904 <br /> <br />of a registered builder, <br /> <br />Other <br /> <br />DATEr, ~8/0&/93 TINE: 14,",01,",;59 <br /> <br />/_5'-1 ¢~) F'ARK AVE NE I <br />AURORA OR 97002 i O~i~)DNI'Y <br /> <br />CONTACT PERSON:~R;~ CLARK 678-11~9 J <br />PO BOX 168 AORORA 97882 ~ ............... ~-~E*'~E~--~=8~ <br />PHONE: 678-2764 ~ VALUATION: <br /> <br />PERHIT OR APPLICATION NO: 9048?37 <br /> <br />CONTRACTOR, NS. <br />MEIEOW, JAMES F. <br />60NTACT PERSON:~ARK CL, ARK 578-1 <br />PO BOX 1~8 AURORA ?7002 <br />PHONE: 678--2764 <br /> <br />WATER SUPPLY <br />TEST HOLES READY: YES <br />SITE EVALUATION NUMBE~: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />SITE EVALUATIOI% FIRST LOT <br /> <br /> TOT A S' E-ES <br /> TNIS.ECEIPT <br /> , NjE <br />PAYEE: FAMILY H~MES OF ~MERICA ~NC~ ~ ' <br />RECEIVED BY: DM2 .................................. <br /> <br /> QUANTITY AMOUNT <br /> 1 $265.08 <br /> <br /> $265,00 <br /> $0.00 <br /> <br />RECEIPT NO: 51272 <br />TYPE: CK CHECK ~: 14402 <br /> <br />SEE ATTACHE]) DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />NOTE. ,THIS DOES NOTnG[RANT OR IMPLY FERNIGSION TO BUILD ON THIS PARCEL. PLANNING AND <br />ONSTRUCTION ~ERMI'r~ ~T BE OBTA g~ BEFORE BOILDING OR'SEFT]:C INSTALI_ATZON DEGINo. <br /> PLAN REVIEW: BY ................ '_ DATE ...... ....... CITY JLR[SDICTI(h: BY ........................ DATE ................................ <br /> REMARKS: SE TI4:READY 8/6/9~ <br /> <br />FORM # MC 1~-~$ REV, 4/~ OF FICE COPY <br /> <br /> <br />