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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 />Othor <br /> <br />SIGNATURE OF APPLICANT: <br /> DATE; <br /> <br /> DATE: 03130194 <br />OWNER: <br /> f~]:BSON,~ JONOTHOIq <br /> <br />TZME: 14:27:2~ <br /> TAX LOT; I ~ATE~O~I <br /> RESIDENTIAL <br /> CONSTRUCTION TYPE; OCCUPANCY: <br /> <br /> 14615 KASEL Cl' NE ,~CN~RA~T6 ~v <br /> AURORA OR 97~D2 ' AURORA NO <br /> <br /> KASEL COURT <br /> 3185 SW CAF(AWAY CT <br /> PORTLAND,, OR 97219 : S~TE NU~BER: 94-~1195 <br /> PHONE= 244-6221 : VALUATION: <br /> <br /> 2 <br />wtOT~; CEPfH: : AREA: : UNITS: : I~EG. E~: ~ d~'~: <br /> 88 164; 14432. ' NO NO <br /> <br />TYPE: OH-SITE SEOAGE <br /> <br />PERMIT OR APPLICAT:IDN <br /> <br />~ONTRACTOR~ NO. 1957.~; <br />Stan],ey M <br />13640 Oak Rd <br />~alem~ <br />F l,qOIqE ~ 868-7388 <br /> <br />WATER SUPPLY: CW <br />rEST NOLES READY: <br />SITE EVALUATION NUMBER: ~0743 <br />EXISTING TANK SIZE: <br />EXISTIN~ DRAIN FtEL,~ LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANT ITY AMOONT <br /> SIANDAR~ ON.-.SITE SYSTEH 1 $255,,00 <br /> <br /> TOTAL ASSESSEI) FEES <br /> PREVIOUS RECEIPTS $255. <br /> 'FHIS RECEIP'T $8,, ~0 <br /> <br /> BA[ANCE I)UE <br /> <br /> PAYEE: INVOICE NO: <br /> RECEIVE~ BY: PB ................... ; ..................................... TYPE: CHECK ,~,: <br /> SEE ATTACHEB DOCUHENT FOR REQUIREMENTS OF ON'SITE BEWAGE SYSTEM. <br /> ~ THIS IS A VALIO PERMIT · :THIS PERMIT EXPIRES 36~ DAYS FROM IT9 ISGUE DATE. IF <br />CONS'f RUCtION FAIL. S TO MEET ALL REQUIREMENTS AND NARZON COUN'TY BOll_DIN{; AND <br />ZONING ORglNANCES~ THIS PERNIT SNALL BECOHE ~I.It..L AND VOID. <br /> <br />REHARKS~ SS <br /> <br />[IOFIA~.I) E. WOODI.,EY.~ MARION COUNTY BUILDING OFFICIA.. / BY <br /> <br /> <br />