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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 - 4:3O <br /> 24 HOUR OODE-A~PHONE: S88-7904 <br /> <br /> of 8 registered builder- <br /> <br />!OWNER: DATE: 09/08/93 T,[ME. t4:15:,~4 <br /> <br /> MEIROW~ JAMES F'. <br /> SITUS ADORES$: <br /> <br /> TAX LOT: CATEGORY; <br /> <br />40516~000 I~E,>.[:0ENTI AL <br />; CONSTRUCTION TYPE; OCCUPANCY: <br /> <br /> 15180 PARK AVE NE 8oN+~.~¥"SiY'¢:' idle: :OCCUPANT LOAD: <br />AURORA OR 77~82 MARION COUNTYi YE~ <br /> <br />AGEI,IT:HARTIN CLARK 678-11;9 <br />PO BOX :L68 AURORA 97002 SITE HUHIBER: <br />PHONE: 678-27~4 VALUATION: <br /> <br />TYPE: DH-SITE <br /> <br />PERHIT OR APPLICATION <br /> <br />CONTRACTOR~ NO, ~748 <br /> John L Jerse~ <br />70:L~ NE 42nd Ave <br />Portland. 97218-0000 <br />PHONE: 287-418~ <br /> <br />9849733 <br /> <br /> WATER SUPPLY: PW <br /> TEST HOLES READY: <br /> SITE EVALUATION NUMBER: 48937 <br /> EXISTING TANK SIZE: <br /> EXISTING DRA~N FIEL~ LINES: <br /> SEPTIC TANK PUMPE~: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br /> STANDARD ON-SITE SYSTEM 1 $~,¢,J.,00 <br /> <br /> TOTAL ASSESSED FEES $255.00 <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br /> BALANCE DUE <br /> <br /> PAYEE: JIM & JLIDY MEIROW RECEIPT NO: 52898 <br /> RECEIVED BY: MB ............. TYPE: CK CHE~K <br /> SEE ATTACHED DOCUHENT POE REQUIREHENTS OF ON--SITE SEWAGE SYSTEH. <br /> <br /> $ THIS IS HOT A PERMIT. THIS APPLICATION ~UST ~ THROUGH A REVIEW PROCESS WHERE THE <br />FOLI,.,OWZN6 MUST BE COMPLETES. IT ~S THE RESPONSIBILITY OF THE AFPLILANT TO ASSORE THAT <br />ALL NECESSARY INFORMATIO~ HAS BEE~ PROVIDED. <br /> <br /> REMARKS~ SS~ RES <br /> <br />OFFICE COPY <br /> <br /> <br />