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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 />of u registered bddder <br />The work will be performed by a teg~st~,red builder <br /> <br />KiVELA, ALLi <br /> <br /> 20882 FILBERT ~f <br />AURORA OR 9'7002 <br /> <br />USE OF SUILOING <br /> <br /> CON FRACT CITY <br /> <br />AURORA <br /> <br />UGB <br /> <br />NO <br /> <br />RE~5 [ OgN f [AL <br /> <br />2 <br /> <br /> PHONg: 285-2792 <br />LOT BLOCk SECTION TOWNSHIP <br /> <br /> 55 95 8225. <br /> <br />~i]E NUIVJt3 ER: <br /> VALUA I ION: <br />RANGE <br /> <br /> NO <br /> <br />ZONE <br /> <br /> NO <br /> <br />MAP <br /> <br />~YRE: ON-Si'I~ SEWAGE <br /> <br />P~RMIT OR APPLICA]iON NO: 25871 <br /> <br />CONIRAC1OR, NO. 35815 <br />C.t,,.N~Y E~CAVAFtNG <br />122 NE 4TH <br />CANDY, OREGON 9'7002 <br />PHONE: 266-2'792 <br /> <br />WAFER SUPPLY: CN <br />I~[ HOLES READY: <br />SITE EVALUAIiON NUMBER: <br />EXISTING rANK SIZE: <br />P-,XiSIlN~ DRAIN F~ELD LINES: <br />5EPIIC ~ANK PU~PEO: <br />PREVIOUS NO. BED~: <br /> <br />IFEM QLLaC4flfY AMOUNF <br />REPAIR - MAJOR 1 $80,00 <br /> <br />tOtAL A,,'%~F_.S~ED FEE~ <br />PREVIOUS R~CEiPlS <br />'FHI~ RECEIPt <br /> <br />~80.00 <br /> 80,00 <br /> $0.00 <br /> <br />BALANCE DUE <br /> <br />PAYEE: iNVO[Cb NO: <br />RECeiVED BY: CL TYPE: CHECK ~: 0 <br /> <br /> SEg A1fACHED LXgCLJMENf FOR REF..,,iUIREMEN15 OF ON-$iIE SEWAEE ~YSIE~. <br /> <br /> THIS I$ A VALID PERMIT * THIS PER~IT IEXPIRE~ 350 BAYS FI~ if$ iZN,~JE I[~AT~. iF <br />i::ONSTRJJCTION FAILS TO ~EET ALL RI~JiRI~4ENT~ OF ~TAT~ LAW~OI~ARION COUNTY ~UiLOINGAND <br />~ONiNG OROINANCE~, ~HI~ PEI~4IT ,.~HALL MEO0Cq~ NULL AND VOID. <br /> <br />RBMARKS: MAJOR RgPAIR /~ <br />DONALU g. WOODLEY, MARION COUNfY BUiLDiNO OFFICIAL / BY ............~ <br /> <br /> <br />