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MARION COUNTY <br /> BUILDINO ~N$I~ECTI{ON <br />$~ato~' B~ldl~g · 22~) High Slrc¢~ N!o . $~cond FI¢.)~ * ~lem. Ore,on 97301-3670 <br /> O~ce }4our~: 8:00- 4:30 Phone: ~8g,$i47 Code-A-Phone: 4:30 p,m,- ~:(1~ a.m. <br /> <br />DATE: 04/03/8g TIM~: 12:00:~gp <br /> <br /> 8ORK, ALAN & PATR~CIA <br /> <br />RESIDENTIAL <br /> <br /> 10430 NISEACRES LN NE <br />AURORA OR 97002 <br /> <br />N~ARICN COUNTY <br /> <br />29055 PARK NAY AVE SP~0 <br />~p~L~VILLE. ORE 97070 <br /> ONE~ 682-0458 <br /> <br />2305 <br /> <br />11 <br /> <br /> 30 <br /> <br />2.96000 <br /> <br />48 <br /> <br />1N <br /> <br /> NO <br /> <br /> ~FU <br /> <br />NO <br /> <br />TYPE: ON-SITE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR. NO, <br />BORK, ALAN & PATRICIA <br />29055 PARKWAY AVE 3P~D <br />NILSONVILLE. ORE 97070 <br />PHONE: 682-0458 <br /> <br />9014910 <br /> <br /> ,.gJPPLY z P~ <br /> HOLE~ READY: <br /> EVALUATION NUMBER: 3968 <br />EXISTING TANK STZE~ <br />EXI~TIN~ DRAIN FIELD LINES: <br />SEPTIC TANK FUMPED: <br />PREVIOUS NO. 8ED~; <br /> <br /> ITEM <br />TILE DE'WATERING <br /> <br />PAYEE~ BORK. ALAN & <br />EECEIVED BY: DM <br /> <br />SEE ATTACHED <br /> <br />* THIS IS NOT <br />FOLLOWING 8E <br />ALL <br /> <br />PLAN <br /> <br />TOTAL A,,.,~E~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BAL.,a~CE DUE <br /> <br />1 $165,00 <br /> <br /> RECEIPT NO= 1 ;834 <br /> TYPE: OK CHECK ~: <br /> FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br /> THIS APPLIQATION MUST E~ THI;~U~-i A REVIt~N PROCE~ 14HERE ~E <br /> IT IS ~E R~ISILI~ OF ~E ~PLI~T TO ~RE ~T <br /> I~ ~BE~ P~VZ~. <br /> <br /> ~ ~T ti__~ JURISDICTI~: BY ~ ~TE~, <br /> 87. <br />TI~E D~TERING ALT ~YST~ //~7~60/ <br /> <br /> <br />