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SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br />SALFM, OREGON 97301 <br /> <br />PHONE 588-5147 <br />CODE-A-PHONE:4:30 P,M, - 8:00 A.M. <br /> <br />I am performing work on a property I own or occupy. <br /> <br />Other <br /> <br />ow~A~E ~ 10/27/89 TIME*. 3;12=31p <br />SITUS Acc.E-%TRAuSER, NARY <br /> <br /> 20500 20510 BOONE~ FERRY RD NE <br /> AURORA. OR,~9?0Q2 ......... <br />US~ OF BUILDING{ <br /> <br />TAX LOT: CATEGORY: <br />CONSTRUCTIOt~ TYPE: OCCUPANCY' RESIDENTIAL <br />CONTRACT CITY: UG8' OCCUPANT LOAD: <br />I~.RIQ"4 COUNTY NO .o oF BEDEOOM$ <br /> <br />MAILING ADDRESS; <br /> <br /> 20500 BOONES FERRY RD NE <br /> PHONE.. 678-5990 <br />LOT gLOCK <br /> <br />WIDTH: DEPTH <br /> <br />SITE NUMBER: 8587 <br />~MC~LUAT~ON: ZON6~ <br /> <br />AREA: 22 UNITS~ 4S RREG. COT' <br /> <br />CO~N~R EFU <br /> <br />TYPE: ON-SITE SE1NAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 34855 <br />HOOOSURN BACKHOE SERVICE, INC, <br />P.O. BOX 418 <br />HOODSUI;DI, OREGON 97071 <br />PHONEt <br /> <br />19537 <br /> <br />WATER SUPPLY: PH <br />TEST HOLES READY: <br />SITE EYALUATION NUMBER; <br />EXISTING TANK SIZE: <br />~ISTIN6 D~IN FIELD LIN~= <br />SEPTIC T~K ~ED: 12-22-88 <br />PR~[~S N0. BED~ <br /> <br />ITEM ~JANTITY AMOUNT <br />REPAIR - MINOR 1 $55.00 <br /> <br /> TOTAL ASS~ED FEES $55.00 <br /> PREVIOUS RECEIPTS $55. O0 <br /> THIS RECEIPT $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE; RECEIPT NO: <br /> <br /> TYPE: CHECK <br />RECEIVED,,, ....... BY: ¢l ~ :~ :::: .~ : ~: ....... ............... <br />SEE ATTACHED DOCUMENT FOR EE~,IEENENTS OF ON-~ITE'$ENAGE 8_8~YST~M. -- ' <br /> <br />* THIS IS A VALID PE~IT ~ THIS PEr, liT :EXPIRES 360 DAYS FR0ffi ITS ISSUE DATE. IF <br />~TRUCT~[ON FAIL~ TO I~EET ALL REOU][REI~NT~ OF STATE LAA~ AND MARII~i COUNTY BUILDING AND <br /> ING ORDINANCES, THIS ~IT ~rlALL 8ECOfClE NULL AND <br /> <br />REFtARKS: TANK ONLY R~7850 <br /> <br />DONALD E. ~X)DLEY, MARION CCXJNTY BUILDING OFFICIAL / BY <br /> <br />FORM '1 MC: f!f 5" I;t~V <~r.~ OFF{CE COPY <br /> <br /> <br />