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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 586'5447 <br />CODE-A-PHONE 4:30,:P,M, rS:00 A.M. <br /> <br /> The work will be podormed by a registere¢ builder, <br /> Other <br /> <br />DATE: 07/22/88 TIME~ 2:40:51p <br />S~T~JS ADDRESS: ~ CONSTRUCTION TYPE: ~OCOUPANCY: <br /> <br />, 14070 CESSNA ST NE ?~6~;~'~l'-Ty-~' <br />AURORA OR 97002 ~RION COUNTY <br /> <br />[NO, OF BEOROOM~: <br /> <br /> 17585 LANDURA CT NE <br /> AUE'ORA OR 97002 <br /> PHONE: 982-4804 SITE NUMBER: <br /> VALUAT ION: <br /> <br /> I 02 ,~ 4S <br /> <br /> ' AREA: i UNITS: IRR~G ,,o+; NO <br />:w~¢r~: ?0 DE~'r~: 100 ¢ 7000.00 SF , <br /> <br />~UNSET r,~]BILE PARK <br /> <br />4986 <br /> <br />AR ] 2 <br /> <br />TYPE: ON-SITE SENAGE <br /> <br />PERMIT OR APPLICATION NO: 9009991 <br />coNTRACTOR, NO. ~,.~,,.~?q~OO <br />HENSLEY, <br />17585 LANDURA CT NE <br />AURORA OR 97002 <br />PHONE~ g82-4604 <br /> <br />ITEM <br /> <br />NATER ,~¢JPPLY: CH <br />TE!~T HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: 7-20-88 <br />PREVIOUS NO. BEDROOMS; <br /> <br />QUANTITY <br /> 1 <br /> <br />ANX~NT <br /> $1o5.oo <br /> <br />AUTHORIZATION NOTICE- FLD; .VISIT <br /> ."TOTAL A'S~ED' ,FEES $105. O0 <br /> ~, PREVIOUS RECEIPTS $0IOO <br /> :: THIS RECEIPT $105,00 <br /> <br /> BALANCE DUE $0. O0 <br /> PAYEE: HENSLEY, MARIE ", RECEIPT NO: <br /> 10619 <br /> <br /> S~E ATTACHED DOCUMENT FOR BEQU:I~EN,T~ .OF ON-SITE SENA~5 SYSTEM. <br /> * THIS IS NOT A PERMIT. THIS ~APPLICATION I~JST GO THROUGH ~ REVIEW PROCESS IdrlERE THE <br /> FOLLOW?NG Iw[JST 8E COMPLETED. Il" 't,~ ~THE RESPONSISIL~'TY OF THE APPLICANT TO ASSLIRE THAT <br /> ALL NECEE~..%&RY JNFOR~IATION HAS SEEN' PROVIDEO~ ' <br /> <br /> REMARKS: AUTH R~4.152 <br /> <br />ro~, ~c;~5.5¢ R~v ~/~ OFFICE COPY <br /> <br /> <br />