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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. ,225 <br />220 HIGH STREET NE <br />'~ALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />J am performln9 work on a property I own Or' OcCupy. <br />I am a registered builder OR the authorized representative <br />of a registered builder, <br />The work will er a r tered beilder, <br /> <br />I have read an~gr'e~ to the t~rms~a~d~n th~reverse side <br />this document, <br /> <br />DATE: 12/09/92 TINE: 14:52:15 <br /> <br />OWNER; <br /> BRUCE PACKING COMPANY (BRUCE PACK) <br /> <br />SITUS ADDRESS: <br /> <br />DATE; <br /> <br />TAX LO'(: OA"cEGORYi <br /> COMHERCIAL <br />, QON~TRUOTION TYPE: OCCUPANCY: <br /> <br />AUMSVILLE'12264 SILVER FALLS MWYDR 97525 .... ' <br /> <br /> 22 8S 1N EFU 47 <br /> NO NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERHIT OR APPLICATION NO: 9044312 <br /> <br />CONTRACTOR, NO_ <br />BRUCE PACKING COMPANY (BRUCE PA <br />SANE <br /> <br />PBONE: 769--2159 <br /> <br />WATER SUPPLY: <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTINB TANK SIZE: <br />EXISTING DRAIN FIELO LINES: <br />SEPTIC TANK PUMPED: FORM <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />AUTHORIZATION NOTICE - FIELO VISIT <br /> <br />PAYEE: LINOBURG/CHRISMAN/ARCHITEGTB <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AHOUNT <br /> 1 $130.00 <br /> <br />$1~0.00 <br /> $0.00 <br />$150_00 <br /> <br />BALANCE DUE $0.C0 <br /> <br />RECEIPT NO: 46467 <br /> <br /> RECEIVED BY: CL TYPE: CK CHECK ~:: 2491 <br /> <br /> SEE ATTACHEO DOCUMENT FOR REQUIREMENTS OF ON-'SITE SEWAGE SYSTEM~ <br /> <br />· THIS IS NOT A PERMIT. THIS APPLICATION MUrST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED~ IT IS TNE RESPONSIBILITY OF TBE APPLICANT TO ASSURE TNAT <br />ALL NECESSARY INFORHATION HAS BEEN PROVIOEO. <br /> <br /> BY.~.,~_~¢'¢¢2 ~ DATE ..........._/'/.,,t,~/,..~_~ CITY JURISDICTION.' 8Y ................ DATE ..................... <br />PLAN <br /> REVIEW: <br />REMARKS: AUTN / PROPO.:~EO"' LUNCH RI4 & NEW OFFICE HFG UNITS TO SITE EXISTING I~ OF <br /> EHPLOYEES IS 70 <br /> <br />OFFICE COPY <br /> <br /> <br />