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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:: 588-514-7 8:00 - 4'30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />OATE <br /> <br /> 07/24/90 <br /> <br />~,r~rm~ s~IVELA' ALLI <br /> <br />'riME: 12:43~57 <br /> <br /> 20882 FILEIERF ST <br />AURORA <br /> <br />OR 97002 <br /> <br />SUBDIVISION <br /> <br />NO <br /> <br />R~i Ob.N l <br />2 <br /> <br /> PHONE: 266-2792 <br />LOf BLOCK <br /> <br />55 95 5225, <br /> <br />Si1E NUMBER: 10754 <br />R^~'~LuAr I°N: zoNE <br /> <br /> IRREG LOT CORNER <br />SF NO NO <br /> <br />MAP <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMI I OR APPLICAi'ION NO: <br /> <br />~'FRAC~OR, NO. 35815 <br />CANBY ~XCAVAriNe <br />122 NE 41H <br />C. ANBY, ORE~ 9?002 <br />PHONE; 268-2792 <br /> <br />NA1ER ~EUPPLY; CN <br />rE'Si' HOL~.~ READY.+ <br />5I l E EVALUA1 iON NUMBER: <br />EXiStING "r~K SIZE: <br />~iSTING D~IN FIELD LINE~: <br />~EPTiC f~K <br />PRE~I~S NO. BED~ I <br /> <br />REPAIR ~ ~¥~JOR <br /> <br />PAYEE: CANBY E~CAVAf'IN6 <br /> <br /> 1 <br /> <br />TOTAL A,,SS~EO FEES <br />PRE~IOUS RECEIPTS <br />THiS RECEIPT <br /> <br />BALANCE DUE <br /> <br />INVOICE NO: <br /> <br />$80.00 <br /> <br />$80.00 <br /> $o.oo <br />$80.00 <br /> <br /> $o.oo <br /> <br /> R~CEiVED BY: cl IYPEz IN CHECK ~: 0 <br /> ~EE AlfACHED DOCU~EN1 FOR REQUIREMENTS OF ON-'SiTE SEWAGE SY~IE:M. <br /> <br />~ THIS IS NOT A PERMIT+ THIS APPLICATION ~L~T GO THROUE~-I A REVI~ PROClaSS ~HERE THE <br />FOLLO~INGt,'IJST BE CO~IPLETEO. IT IS THE R~PONSiSiLITYOF THE APPLICANT TO AE~RE THAT <br />ALL NI~DEE~:~RY JNFOF~TION H~ BEEN PROVIDE[). <br /> <br />MAJOR REPAIR <br /> <br />CITY JURISDICTION; BY ........ OAfg <br /> <br />OFFICE COPY <br /> <br /> <br />