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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 588-5147 <br />CODE-A-PHONE 4:30 RM, - 8:00 A,M. <br /> <br /> DATE: 10/11/89 TIME: 8:33: 13a <br />OWNER: STRAUSER, MARY <br /> <br /> 20500 20510 80CNES FERRY RD NE <br /> AURORA OR 97002 <br /> <br /> 20500 BOONES FERRY RD NE <br /> <br /> PHONE: 6?8-5990 <br /> <br /> SIGNATURE OF APPLICANT: . - . <br /> DATE: <br /> <br /> TAX LOT: <br /> <br />b~ARION COUNTY <br /> <br />SUBDIVISION: <br /> <br />WIDTH: DEPTH: AREA; _____UNITS: <br /> 4 <br /> <br />UGB: <br /> <br />NO <br /> <br />CATEGOHY: RESIDENTIAL. <br /> <br /> NO O¢SEDHOOMS <br /> <br /> 1 <br /> <br /> SITE NUMBER: 858'/ <br /> VALUATION: <br /> <br />4S 1N EFU <br />AC IRREG. LOT: NO D(~RN~H:NO <br /> <br />MAP: <br /> 5 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PER,lIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 38090P-1C <br />AAA SEPTIC SE'VICE <br />2982 PRINGLE RD SE <br />SALEM, OREGON 9?302 <br />PHONE: 378-7454 <br /> <br />901953? <br /> <br />MATER SUPPLY= Fg~ <br />TEST HOLES READY.* <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: 12-22-88 <br />PREVIOUS NO. BEDROO['4S: <br /> <br /> ITF_J~ <br />REPAIR - MINOR <br /> <br />PAYEE.' STRAUSER, MARY <br /> <br />TOTAL A,.~ED, FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />OtJANTITY <br /> 1 <br /> <br />RECEIPT NO: <br /> <br /> AMOUNT <br /> $55.00 <br /> <br /> $55.00 <br /> $0_00 <br /> $55.00 <br /> <br /> $0.00 <br />20729 <br /> <br />RECEIVED BY: C] TYPE: CK CHECK ¢¢: 383 <br /> <br />~ ~IS IS NOT A PE~IT. ~IS ~ST ~ ~,"A R~I~ P~ ~ERE ~E <br />FOLL~IN6 ~ST 88 ~PL~. ,,' ~E R~S~B:ILI~ OF ~E APPLI~T TO ~RE ~AT <br />ALL N~ INFO~TI~ H~' P~IDED. <br /> <br />PL~ REVIEW: BY DATE.__.____~___~-/I~ CITY JURISDICTI~: 8Y DATE <br />R~AR~: T~K ~LY <br /> <br />~O~M # MC,, ~5-58 REV 11/88 OFFrCE COPY <br /> <br /> <br />