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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLIDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97S01 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />~ am performing work on a property I own or occupy. <br />l am a registered builder OR ( )theauthorizedrepresentatlve <br />of a rogistered builder. <br />The work will be performed by a registered builder. <br />Other <br />I have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br /> LADDIE SNODDERLY 40514000 i RESIDENTIAL <br />SITUS ADD~ESS~ CONSTRUCTION TYPE; I ObOUPANOY: <br /> <br /> %52S$ OTTAWAY RD <br />AURORA <br /> <br /> NE :'CdNfR,4C+ 61TY U~8; ,!OCCUPANT LOAD: <br />OR 97002 MARION COUNTY YES <br /> <br /> 4 <br /> <br />PO BOX 364 <br />AURORA, OR HOBILE-784-1890 SITE NUMBER; 92-01928 <br />PHONE: 266-7059 VALUATION: <br /> <br /> 1S ..... ~ :EEU <br /> 'DEPTH: AREA: UNITS: ' ~RREG. LOT: CORNER: <br /> 6.02 AC NO NO <br /> <br />MAP: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 42797 <br /> <br />CONTRACTOR, NO. <br />LAODIE SNOOOERLY <br />PO 80X 564 <br />AURORA, OR MOBILE-784-1890 <br />PHONE: 266-7059 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: 40116 <br />EXISTING TANK SIZE: <br />EXISTING ORAIN FIELO LINES: <br />SEPTIC TANK PUMPEO: <br />PREVIOUS NO. 8EOROOMS: <br /> <br /> ITEM QUANTITY AHOUNT <br />STANOARD ON-SITE SYSTEM 1 $210.00 <br /> <br />TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br />$210.00 <br />$210.00 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br /> TYPE: CFIECK ~: <br /> <br /> RECEIVED BY: PB ....................................... 0 <br /> SEE ATTACMEO DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES ~60 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION FAILS TO MEET ALL REQUIREMENT¢ OF STATE LAWS AND MARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PERMIT SHALL 8ECOME NULL AND VOID. <br /> <br />REMARKS: STANDARO SYSTEM <br /> <br />OONALO E.. WOOOLEY, HARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICECOPY <br />FORM ~ MO 15-58 REV, 4~ <br /> <br /> <br />