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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-?904 <br /> <br />Other. <br /> <br />SIGNATURE OF APPLICANT <br /> <br />10103/90 f ,~4F-.; 15.' 50:25 <br /> <br />SUIV~ER~, JOE & I~IAy <br /> <br /> 20882 FIU~ERf 3f <br />AURORA OR 9?002 <br /> <br />U~E OF BUILDING <br /> <br /> CONTRACT CIly <br /> <br />AURORA <br /> <br />UGB <br /> <br />NO <br /> <br />1320 N- IVY <br />CANDY, OR 9Y013 <br />PHONE: 266-4B84 <br /> <br />B 4 1 :~ <br /> 55 95 5225. <br /> <br />SUBDIVISION <br /> <br />COLONY PARK <br /> <br />SIrE NUMBER: <br />VALUA f I ¢~: <br />RANGE ZONE <br /> <br />IRREG LOt CORNER <br /> NO NO <br /> <br />CATEGOHY <br /> <br /> RESi DEN f <br /> <br />OCCUPANT LOAD <br /> <br />2 <br /> <br />MAP <br /> <br />PERMIf OR APPLICAFiON NOt 9027738 C~L <br />CONIRACFOR, NO. 3f543 ~' <br />OREGON PACiP~C CCN~fRUC~ iON, iN <br />180 SO. PACIP~C HWY <br />NfDOOBURN 97071 / / <br />~E: 981-8147 <br /> <br />~TER SUPPLY: C~ <br />I P..~ HOLE~ READY: <br />SITE EYALUATION NUN~ER: <br />~(iSfING TANK SIZE: <br />EXiSIlNG DP. AiN FIELD LINES: <br />SEPlIC lANK PUMPED: <br />PRB¥IOU~ NO. BEDROOm: <br /> <br />1ORAL A~SP.L~,%ED FEE~ <br />PR~IOU~ RECEIPTS <br />THIS R~C£IPT <br /> <br />BALANCE DUE <br /> <br />PA~bb: ORgGON PAC,~F.,~C...C'ONS I RUCT ION, iNC. <br />RECEZVEO ~Y: PR ~'~" ......................................... <br /> <br /> OUANIifY AMOUNi <br /> <br /> $80_DU <br /> $0.00 <br /> $88.00 <br /> <br /> $o.oo <br /> <br />iNVOiCE NO: 29~2 <br />~YPE: iN CH~CK ~: 0 <br /> <br /> ~EE A~fACH&D DO'GU~ENF FOR REQUiR~.~'f"S OF ON-SIIE SEWAGE 8Y~fEN. <br /> <br /> * TH~$ 18 NOT A PEI~[T. THI~ APPLICATION MUST ~ THROUGH A <br />~OLL~ZNe ~sr BE ~PLE'rSO. ZT I~ THE R~81BiLZrY OF THE APPL~O~f TO ~RE THAT <br /> <br /> P~N R~ViEAI: BY. ~ DATE {~.~ CiTY JURI~OiCIi~: BY <br /> REMARKS; M~OR REPAIR <br /> <br />OFF[CE COPY <br /> <br /> <br />