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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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 />Othot_ <br /> <br />OWN~[E; 07/~3/91 rIME: <br /> <br /> WlLffiES, PAIRiCiA <br />S~TUS ADDRESS <br /> <br />TAX LOT CATEGORY <br /> 40238-000 <br />CONSTRUCTION TYPE OCCUPANCY <br /> <br />RESiDENIiAL <br /> <br />10288 CHA~4POEG RD NE CON)RACTCITY UGB <br />AURORA OR 97002 <br />USE OF BUILDING ,[¢~ARiON COUNfY , NO <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF BEDROOMS <br /> <br /> 10307 MAIIHIEU LANE NE <br /> AURORA OR 97002 <br /> PHONE: 6';'8-b39'! SIIE NUMBER: 13131 <br /> VALUAT iON: <br />LOT ICLOCK SECTION TOWNSHIP RANGE ZONE MAP <br /> <br />WIDTH DEPTll AREA <br /> <br />UNITS 4~ IRREG LOT 1~ CORNER <br /> AC NO NO <br /> <br />4- <br /> <br />fYPE: ON-SirE SEWAGE <br /> <br />PER. ii OR APPLICAflON NO; 22626 <br /> <br />CON[RACFOR, NO. <br />WlLMES, PAfRICIA <br />10307 MAffHIEU LANE NE <br />AURORA OR 97002 <br />PHONEs 6?8-539'? <br /> <br />NAlER SUPPLY: <br />f'E~F HOLES READY: WILL CALL <br />SIIE EYALUAIlON NUMBER: <br />F-.5(iS¥ING lANK SIZE: <br />EXISIlNG DRAIN FIELD LINES: <br />SEPFiC rANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br />5E < ~ MONTH5 OLD <br />Sire EYALUAflON, PI F~f LOf <br /> <br />TO]AL ~ESSED FEb <br />PREVIOUS RECEIPTS <br />IHIS RECEiP1 <br /> <br />QuANtify ~4OUNf <br />1 <br />1 $1f5.0o <br /> <br /> $285.00 <br /> $285.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEiP1 NO: <br />RECb~VED BY: CL fYPE: O~ECK ~: <br /> <br />SEE Af fAGgED DOCUMP}\Ir FOR RE(J~JiRF_~ENTS OF ON-SIrE SEWAGE SYSI'EM. <br /> <br />NOTE: THIS DOES NOT GRANT OR i~PLY PE~4IS~ION TO BUILD ON THIS PARCEL. PLANNING AND <br />CONSTRUCTION PER~4ITS ~UST BE ~TAiNED BEFORE BUILDING OR SEPTIC INSTALLATION BE~E~INS. <br /> <br />REMARKS: SiIE gYAL & SEPflC R~5537 <br /> <br />DONALD E- WOODLEY, MARION O%)UNIY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 15-56 REV 4190 OFFICE COPY <br /> <br /> <br />