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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br />SALE~, ._ORE_90N 97301 <br /> ~ PHONE 588-5147 <br /> COBE-A-PHONE 4;30 P.M. - 8;00 A.M. <br /> <br />I am performln9 work on a property,~ own or OCCUpy. <br />lamaregistered buHderOR( )th~au~horized representative <br />of a registered builder, <br />The work will be performed by a registered builder. <br />Other <br /> <br /> I he, ye read and agree to the term8 stated on the reverse side of <br /> this document. <br /> <br /> DATE, 08/01'/87 . TIME= 1.1;1S:34a <br />OWNSR: <br /> HICKS, ARTHUR <br />SITUS ASORESS: <br /> <br />7477 ~ER~IAN RD <br /> <br />SE <br /> <br /> TAX L(~T: ; CATegORY; <br /> 5626:3-000 COMMERICAL ~.~ <br />CONS'CSU~¥1O N ~YPE; [OCCUPANCY: <br /> <br />AUNSVI LLE OR 97325 ~ <br /> M~ ON. ~, ,NO <br />USE or BUILD~NG: <br /> <br />MAILING ADDRESS: SINGLE FAMILY BHELLINGS ' <br /> <br /> SCC4E <br /> <br /> PHONE: 749-2606 <br /> <br />LOT: ; BLOCKI <br />WIDTH: ' DEPTH: <br /> <br /> SITE NUD~ERt 1978 <br /> VALUATION: <br /> <br /> 2~ ~S !W i EFU ~ 48 <br />AREA: :UNITS; IRREG. LOT'. CORNER: <br /> 40+0000 i AC NO i NO <br /> <br />TYPE`+ CN-SITE SEWAGE <br /> <br />PERNIT OR APPLICATION NO.+ <br /> <br />CONTRACTOR, NO. <br />HICk, ARTHUR <br />SA~E <br /> <br />PHONE.* 749-2806 <br /> <br />3356 <br /> <br /> ITEM: <br />AUTHORIZATION NOTICE - FLD. VISIT <br /> <br />PAYEE: <br />RECEIVED BY: pb <br /> <br />WATER SUPPLY= P~ <br />TEST HOLES READY.' <br />SITE EVALUATION NUNSER: <br />EXISTING T/SqK SIZE: <br />EXISTING DRAIN FIELD LINES; <br />SEPTIC TANK PUMPED: WILL BRING IN <br />PREVIOUS NO. BEDROONS: <br /> <br />(LXJANTI TY AMOUNT <br /> $65.00 <br /> <br />TOTAL ASSESSED FEES $65.00 <br />PRE¥IOtJ~ RECEIPTS $65.00 <br />TI~IS RECEIPT . $0.00 <br /> <br /> BALANCE DUE $0.00 <br /> ,':RECEIPT NO: <br /> <br /> THIS IS A VALID PF_RNIT * THIS PEI;~IIT EXPII~E~ ~60';,[~.,,,.Y~... FInN ITS ISSUE DATE. IF <br />ZCNZNG ORDI~. THIS ! +AND MARION COUNTY BUILDIN~ AND <br /> <br />RARe: ~*~2757 <br />DONALD E. NOODLEY, D~ARION COUNTY 8UILD'I:NG:::~FF:IC~iAL /' BY <br /> <br />"O"M ,, MC ~S-~, ~,v ,/~7 OFFICE COPY <br /> <br /> <br />