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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 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br />SIGNATUSE OF APPLICANT: <br /> DATE: <br /> <br />°W~'E: 10/25/90 TIME: 15:50:21 <br /> <br />S~TUS ,~D~_~;rRAUSER, MARY <br /> <br />TAX LOT: CATAGORY: <br />CONSTRUCTION TYPE: 'OCCUPANCY: RESiDENTiAL <br /> <br /> 20500 20510 BOONE~ FERRY R0 NE <br />AURORA OR .97.002 <br /> <br />dONTRACT CITY: ; UGB: <br /> <br />MA~LING ADDRESS: SU gDI//ISI~N: <br /> <br /> 20500 BOON~ FERRY RD NE <br /> <br /> PHONE: 878-5990 <br />LOT: BLOCK: ; S~CTION; <br /> <br />SITE NUMBER: <br />R^ALUAT [Off; 'ZONE: <br /> <br />8587 <br /> <br />MAP: <br /> <br />3 <br /> <br />WIDTH 'DEPTH AREA: 22 uN TS' <br /> <br />EFU 5 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PER~i'r OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />s'rRAusER, <br />20500 BOONE,'~ FERRY RD NE <br /> <br />PHONE: 678-5990 <br /> <br />28039 <br /> <br />NATER fSUPPLY: PW <br />TEST HOLB READY: <br />SITE EVALUATION NUf~ER: <br />EXISTING TANK SIZE: <br />F.D(ISTiNG BRAIN FIELD LIN~: <br />SEPTIC T~K ~PEO: 12-21-88 <br />PRE~I~S NO. <br /> <br />PAYEE: <br />RECEIVED BY: CL <br /> <br />BALANCE GOE $0+00 <br /> <br />RECEIPT NO; <br />CHECK <br /> <br /> TYPE: O <br /> SEE AT'rACkED D(A~JMENT FOR RET~UiREME~TS OF ON~$1'J'E SEWAGE SYSTEM. <br /> <br />~ THIS IS A VALID PE~IT ~ THIS PE~IT ~Pi~ 360 ~ F~ ITS I~E <br />~ST~CTi~ FA[~ TO MEET ALL R~IR~T~ ~ STATE ~ ~D ~R[~ ~TY BUILDING <br />Z~ING ORDIN~C~, THIS PE~[T ~ALLB~E NULL ~D <br /> <br />REI%ARF~: EXISTING SYS'I'EN EVAL. R~t2992 <br />EXANALD E. I~OODL~Y, MARION COUNTY BUiLDiNG OFFiCiAL / BY ......................................................... <br /> <br /> OFFICE COPY <br />FORM # MC 15-5~ REV. 4/90 <br /> <br /> <br />