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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG,, NO 225 <br />220 HIGH STFIEET NE <br /> SALEM OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4;30 <br />24 HOUR CODE-A-PHONE- 588-7904 <br /> <br />THOMPSON, MICHAEL <br /> <br />TAX LOT CATEGORY <br />CONSTRUCTION TYPF OCCUPANCY <br /> <br />RESI DP,-N I iAL <br /> <br /> 10024, WISEACRE LAN~ <br />AURORA <br /> <br />OR 97001 <br /> <br />NE <br /> <br />CONTRACT OITY UGB <br />t4AR i ON COUN1Y NO <br /> <br />OCCUPANT LOAD <br /> <br /> NQ OF BEDRUOMS <br /> <br /> PHON6: 6?9-2?86 <br /> <br />LOT SLOCK <br /> <br /> 1,4,0 <br /> <br /> SECTION TOWNSHIP <br /> <br /> ASEA UNITS <br />14'? 20580, <br /> <br />SF <br /> <br />Si1E NUMBaR: 130f4 <br />VALUA I ION; <br />RANGE ZONE <br /> <br />IRREG EOT CORNES <br /> NO NO <br /> <br />IYP~.: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICAIION NO: <br /> <br />Ct3N1RACI OR, NO, <br /> I' H OM Fd;'.::~JN, MICHAEL <br />~AME <br /> <br />90327?6 <br /> <br />NAIER 2AJPPLY: PW <br /> f'F...,.%f HOLES READY: <br />SIIE EYALUATION NUMBER-* <br />EXiSFiNG FANK ~iZE: <br />EXISTING DRAIN FIELD LINES: <br />~EPFiC FANK PUMPED: <br />PREVIOUS NO. BEDROOMS5: <br /> <br />1 I EM QUAN1 I TY ANOUN I <br /> <br />REPAIR -- MAJOR ~ 1 $80.00 <br /> ~,/¢/¢'~f/ T'O~AL ~ED FEES $80.0~ <br /> PREVI~S RECEiPF5 $0- O0 <br /> IHi5 RgCEIPI $80.00 <br /> <br />BALANCE DUE <br /> <br /> ~,'",,LL*. InUl','lh',;:i, UN, I~llfJdAl::L ,'*'¢,~ .~EL.~'IFI NM: 34,5.69 <br /> RECEIVED BY' pb2 ~/~,:.~1 FYPE: CK CHECK At: 250 <br /> <br /> SEE AT FAE~EO DOCUMENT FOR REQUIRENENFS OF ON-SITIB SEWAG~- SYSrE~_ <br /> <br />:~ THiS IS NOT A PEI~IlT+ THIS APPLICATION I~IUST ~O THROUEH A REViEY~ PROCEEx5 ¥,iHERE THE <br />[-~OLL(iIHING /~UST BE CO~PLETEO. iT IS THE RESPONSiBILiTY OP THE APPLICANT TO ASSURE THAT <br />ALL NECES,SARY INFOI;~4ATIC~I HAS BEEN PROVIDEO+ <br /> <br />REfiARKS.- DRAiNFIbLD RP_.PAiR P,~5560 <br /> <br />CiTY JURiSDICtiON: BY .......... DATE <br /> <br />Fon~ ,~ uc ~s-~e F~ev 4~ OFFICE COPY <br /> <br /> <br />