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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 2'~5 <br />220 HIGH STR~=ET Np <br /> SALEM: OREGON 97301 <br /> <br /> PHONE:: 588-5147 8::00 - 4:30 <br />24 HOUR CODE-A-PHONE, 588-7904 <br /> <br />of a registered buffdet <br /> <br /> OAFS: q2/28/90 fIlYlE: 14,:34:34, <br /> <br />OWNED Lgh--., ELGA <br /> <br />SIGNATURE OF APPLICANT <br /> L)ATE <br /> <br />TAX LOT <br /> <br />CATEGORY Rg~iDEN l 1AL <br /> <br /> 20537 CA~E RD <br />AURORA <br /> <br />USE OF BUILDING <br />MAILING ADDRESS <br /> <br />OR 97002 <br /> <br />NE <br /> <br /> CONSTRUCTION TYPE <br /> <br />CONTRACT CiTY , UGB <br />tCiAR I ON COUN I Y NO <br /> <br />SUBDIVISION <br /> <br />OCCUPANCY <br /> <br />OCCUPANT I. OAD <br /> <br /> 3 <br /> <br />PHONE; 6?8-5687 <br /> <br /> 24 <br /> <br /> ~i1E NUI',4BER: 120lb <br /> VALUAfION: <br /> <br /> 'RANGE ZONE <br />4~ 2W EFU <br />AC IRREG LOT NO CORNE~O <br /> <br />MAP <br /> 9 <br /> <br />9029553 <br /> <br />NA'fER SUPPLY: Pt~ <br />TEar HOLES REAOY; <br />~i'lE EVALUAIiON NUMBER: <br />EXISTING lANK SIZE: <br />EXiStiNG DRAIN FIELD LiNE~: <br />~EPTIC lANK PU~PE0: W~LL HAVE DONG <br />PREVIOUS NO. BEDR%vJfz¢5:3 <br /> <br />BALANCE O~UE $0-¢0 <br /> <br />PAYEE: LEB, <br />RECEIVED BY: PR <br /> <br />RECEiPf NO: 31217 <br />.......................................................... f'YPE: OK CHECK ~: 645 <br /> <br /> SEE At fAC~EO OOCUMENf FOR REQUiR~MEN'rS OF ON-SIrE SEWAGE SYSfE~. <br /> <br />~ THIS iS NOT A PERSqiT. THiS APPLICATION MUST GO THROUE~I A REVIEN PROCEEx.$ IcEtERE THE <br />FOLLONING FItJS'i BE ODC4PLETED. iT IS THE RESI:~NSiBiLiTY OF THE APPLICANT TO ASSLIEE ~HA] <br />ALL NEC~RY [NFOF~IATION HAS. BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY ....... 0A'f'E ..... " ........... CJ.f'Y JURi~OICfION: 8Y <br /> <br />REMARKS SEP'/IC'AUIH - FIELD V,[SJ, 1' R1~3458 MC)BI, LB PLACED 1985 <br /> <br />DAlE <br /> <br />OFFICE COPY <br /> <br /> <br />