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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. 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 />~rn a registered builder OR ( ) the authorized represematwe <br />of a registered builder, <br /> <br />Other <br /> <br />OWNER; <br /> PETERSON , RZOIqARD <br /> <br /> 15068 SECONO S'1' NE <br /> AURORA OR 97002 <br /> .................................................................. LAUR~RA <br /> <br />TAX LOT: <br />CONSTRUCTION TYPE: <br />CONTRACT CITY <br /> <br />RESI DEN1' IAI <br /> <br />UGa <br /> <br />IOCCUPANT LOAD: <br /> <br /> .......................................................................... <br />MAILING <br /> <br /> PARCEL <br /> <br /> AURORA, OR <br /> PHONE: 6?8-5893 SITE NUIVlBER: 92-u0529 <br /> VALUAT <br />LOT'. ................ <br /> <br /> L .1 <br />WIOTN'. ............................. ld~h; .................-~EA UNI?S: I~REG. LOT'. CORNE.. <br /> <br />................... j ............................. 0.88 AC NO NO <br /> <br />TYPE: C.~-$i l'E <br /> <br />PER~4iT OR APPLICATION NO: 9038087 <br /> <br />coN'r RAc'roR, NO. <br />PETEF~=/,~N , RICHARD <br />P.O. BOX 3~,9 <br />AURORA, OR <br />PHONE: 678~5893 <br /> <br />iNATER SUPPLY: <br />T~'I' HOLES READY: <br />311'E EVALUATION NUF~3ER: <br /> <br />EXISTING DRAIN FIELD LiNE~: <br />SEPTIC 'FP,~IK PUr, IPED*. <br />PREVIOUS NO'.-BEBRCY,3IV~t <br /> <br /> ITEM f,,..~IANTi'f'Y .a~OUN'F <br />SITE BYALUA'I'IO~. EA. ADDL., LOT 1 $150.90 <br /> <br />PAYEEt pIS'rERSON , RiO'HARD ,,,. <br />RECEIVED BY: cl <br /> <br /> ,¥OTAL. A~.S~EB E~ES $150.00 <br /> 'RRE~i~$,,"RECBi'PTS $0.80 <br /> :T~S~::~.CC~iR~ ' $~0.00 <br /> <br />'" INVOICE NO; 40063 <br /> 0 <br /> <br />SEE AT')"ACHF'D BOC3JMENT FOR ~'-.~XJ'C, RfrS"4E~,<&, OF~ ,ON-Y~iTE ;SENd. GE SYESTEM. <br /> <br />NOTE: TH[~ DOE~ NOT GRANT ;HI5 PARCEL. PI-~INING AND <br />CONSTRUCTION PER'ITS ~IJST"BE ~BTAINED BEF~ORE~,BU'ILDINCOR SEPTIC INSTALLATION BEGINS. <br /> <br />PLAN REVIEN: BY <br /> <br />.gA 1: E' ,, ,,': ................................ <br /> <br />Cl~Y JU ISDICI'iON: BY <br /> <br />DATE .......................... <br /> <br />R~RKS: SE <br /> <br />OFFICE COPY <br /> <br /> <br />