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MARION GOUNTY 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 CODE-A-PHONE: 588-7904 <br /> <br />~,m 1Se:forming work on a DroDe~y I own or occupy~ <br /> <br />DATE: 0~/Z4/92 T~E~ [5:3~3~ <br />STONELRKE, ~ENOELL A HELDA <br /> <br />: TAX LCtY: <br /> <br /> 10410 <br />AURORA, <br /> <br />CHAMPOEG ROAO NE <br /> OR 97002 <br /> <br />;MARION COUNTY: NO <br /> <br />LOT <br /> <br />10408 DHAMPOEG RD NE <br /> <br />AURORA, OR ~7002 <br />PHONE: 678-2170 <br /> <br />7.4 <br /> <br />SITE NUHBER: 92-0043,6 <br />VALUATION: <br /> <br />_iW ......... EFU <br />IR~EG LOT CORNER <br />NO NO <br /> <br />RESIDENTIAL <br /> <br />TYPE: ON-S~TE SEWAGE <br /> <br />PERMIT ~ ~PPI. ICAT[ON NO: 42185 <br /> <br />CONTRACTOR, NO. <br />STONELAKE, WENDELL & NELDA <br />10408 CHAMPOEG RO NE <br />AURORA, OR 9700Z <br />PHONE: ~78-2170 <br /> <br />WATER SUPPLY: PW <br />TEST BOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SZZE: <br />EX~STING DR~IN FIELD LINES: <br />SEPTIC TANK PUMPED: YES <br />PREVIOUS NO. BEOROOM~: <br /> <br /> ITEM QUANTITY AMOUNT <br />ANNUAL EYAL, - TEMP OR HDSHP MH i $75.O0 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$75.00 <br />$75.00 <br /> $0.00 <br /> <br />'B~LANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br /> <br /> RECEIVED BY: PB~ _~ TYPE* CHECK m" 0 <br /> SEE ATTACHEO OOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br />z THIS IS A VALID PERHZT · THIS PERtIZT EXPIRES 360 DMY$ FRON ITS I~$UE OATE. IF <br />CONSTRUCTION FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILOING AND <br />ZONZN6 ORDINANCES, THIS PERMIT SHALL ~E¢OME NULL AND VOID. <br /> <br />REMARKS; HARDSHIP AUTH <br /> <br />OONALD E. NOODLEY, M~R~ON COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE, <br /> <br /> <br />