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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM1 OREGON 97301 <br /> <br /> PHONE: 888-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other. <br /> <br />fhis document <br /> <br />OwNed'rE: 01/31/91 I~.1',1~: 15:25:49 <br /> <br /> COOKIV'~,N, ~O'l' T' <br />~ITUS ADDRESS <br /> <br />TAX LOT CATEGORY: <br /> 00700 <br />CONSTRUCT ON TYPE: OCCUPANCY <br /> <br />RESiDENTiAL <br /> <br /> 10323 SCHULER RD <br />AURORA <br /> <br />OR 97002 <br /> <br />NE <br /> <br />CONTRACT C TY; UGB OCCUPANT LOAD <br />Iff,AR.ICH r.~G)UN t'Y ·, NO <br /> <br /> SAt4E <br /> 544-8304 <br /> PHONE: 67'8'-1822 SiTE NUIVlBER~. 11050 <br /> VALUAT J. ON: <br />I CT BLOCK SECTION TOWNSHIP RANGE: ZONE: <br /> <br /> 6 4S. 1N <br />WIDTII DEPTH. A~E,~ UNITS: IRREG LOT' CORNER' <br /> <br /> 5.14 AC NO NO <br /> <br />MAP: <br /> <br />TYPE: ©N-SI'T'~ SEWAGE <br /> <br />PER~41T' OR APPLiCATiON NO: 9030121 <br /> <br />C%)N'fRAC'[OR, NO. <br />COOKt'C. AN, Sco'f"r <br /> <br />PHONE: $Y8~1822 <br /> <br />~A'f'ER SUPPLY: PH <br />TE.."8'T HOLE3 READY: <br />~]1'E EYALUATiON Nur48ER; <br />P-,~<tST~NG 'rANK ~Z~ <br />EX~S'¥'ING DRAIN FIELD <br />~EPTtC TANK PUMPED: <br />PREVIOUS NO. BEDROO¢4S: <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: CY.]OKIMAN, ~scrJ'r'r ~,¢-~ RECEIPt NO- <br /> RECEIVED 8Y:~F"~ TYPE: CK CHECK ~: 31833 <br /> <br /> SEE AYfACHEO DOCUMENT FOR REQUZRE. hlENT~ OF ON-8[TE SEWAGE <br /> <br />* fR]5 ~$ NOT A PEf~I[T. THE8 APPLJCAT[ON It~UST 60 THROUGH AREVJE~ PROCEE,8. I,'~ERE THE <br />FOLLONtN6 I~IUST BE COMPLETED.: IT iSTHE RE~I:~SN~IBILiTY OF THE APPLICANT TO.ASSURE THA'r <br />ALL NEC~RY [NPOR~IATJON HA~:BEEN PROV[DED, <br /> <br />RE~ARKS; sEP'ric REPAIR R~3159 <br /> <br />CITY JURISDICTION: BY DAI'E <br /> <br />CORM # MC ,8-~6 RSV, 4/30 OFFICE COPY <br /> <br /> <br />