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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 />Other_ <br /> <br /> · 4 <br /> BATg. O2/17/9 <br />OWNER; <br /> HUBBERD, TIM <br /> <br />TIldE:..9:58:49 ..... <br /> ¢ TAX LOT; <br /> <br /> zl CONSTRUCTION TYPE; . <br /> <br /> 14747 ALBEES WAY NE i'~8'~fh~8~ C'+~:' , U(~Br !OCCUPANT LOAD: <br />AURORA OR 97002 ~AURORA [ NO , <br /> <br />8995 SW PINEBROOE <br />TIGAED, OK 97224 <br />PHONE: 639-6890 <br /> <br /> SITE NUMBER: 94-00697 <br /> VALUATION: <br /> <br />!TOWNSNIP; <br /> <br /> 5 .......... Z ............. 12 ............... i ,,,4S ...........i i~ ...... ] ,.R=l ............ , ............... <br />!'%~TH: iDEPTH: I AREA: ' "UNITS; i IRREG, LOT; I CORNER: ¢ <br /> 23102 ' SF ' YES i NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PER~IT OR APPLICATION NO: 52970 <br /> <br />CONTRACTOR, NO. 33830 <br />DENNIS GIBBIONS-PRICE RITE SEPT <br />18220 NE HILLSIDE DR NENBERT, <br />NEWBERG, 97132 <br />PHONE: 538-2276 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: ALBERS ADD <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br />STANDARD ON-SITE SYSTEM 1 S255.00 <br /> <br /> TOTAL ASSESSED FEES $255.00 <br /> PREVIOUS RECEIPTS $255.00 <br /> THIS RECEIPT $0.00 <br /> <br /> BALANCE DUE' $0.00 <br /> <br />PAYEE: INVOtOE NO: <br />RECEIVED BY: CL TYPE: CMECK #: 0 <br /> <br />SEE ATTACMED DOCUMENT FOR REQUIREMENTS OF ON~SITE SEWAGE SYSTEM. <br /> <br />* THIS IS A VALID PERMIT * THIS PEKHIT EXPIRES 360 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION PAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PERMIT SH~LLBECOME NULL AND VOID. <br /> <br />REMARKS: PERMIT <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM # M~ 1 ~-66 REV. 4/'~ OFFICE COPY <br /> <br /> <br />