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Permit - 1287094
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Permit - 1287094
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Entry Properties
Last modified
4/11/2011 12:39:23 PM
Creation date
9/4/2003 8:41:58 AM
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Permits
Permit Address
10488 CHAMPOEG RD NE
Permit City
Aurora
Permit Number
94-01621
Permit Type
Permit
Permit Doc Type
Permit Document
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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 />, RESIDENT'i:AL <br /> <br />DAVIDSO~4~ JOHN <br /> <br /> ;18488 C,HANPOEG <br /> <br />4561 RIVRSIDE ~)R ~' .............................................................. <br />hCMINNV;1LLE,~ !!R 971:!8 ~ITE NUMBER: <br />PHOI'IE ~ 472-2825 I VALUATION: <br /> <br /> ~ ~ ; 4~ ~ 1w EFU ~4 , <br /> ~E'~S~'; ~% ~-~'~ ~'~'~8 ............. J~5~-~'~' <br /> ~ ~ 34. ~ AC NO NO <br /> <br />TYPE: ON-SITE SENAGE <br /> <br />PERMIT OR APPLZCATiOH <br /> <br />CONTRACTOR, NO. <br />DAVlOSON. ,JOHN <br />4~81RIYRSIDE DR <br />NCMINNVI LC. ~R 97128 <br />PHONE: 472-2625 <br /> <br />WATER SOPPLY: PW <br />TEST HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXIBTINI; DRAIN FIELD LINES: <br />SEPTIC TANK F'UMPED~ <br />PREVIOUS NO. BEDROOHS: <br /> <br /> ITEM <br />SITE EVAI.UATION~ EA~ ADI)I... LOI <br /> <br />TOTAL ASSESSED FEES <br />PREVIOOS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> 1 $225.00 <br /> <br />$2~!5,,00 <br />$22%00 <br /> $0.00 <br /> <br />BALANCE DUE $0,00 <br /> <br />PAYEE: RECEIPT NO: <br /> <br />RECEIVED BY: PB I'YPE.- CHECK ~: 0 <br />SEE ATTACHE~ DOCUMEN'r FOR REQUIREMENTS OF OH-SITE SEWAGE SYSTEM. <br /> <br />I,~O'I'E~ THIS DOLES NO:f GRANT DR IMPLY PERMISSION TO BUIL~ ON THIS PARCEL,, PLANNINI; AND <br />ONSTRU(;TION PERMITS MUST BE 8BTAI,EB ~EFORE ~UIL, DII,IG OR SEPTIC, II,ISTALLATIOI,I BEG'.[1EL <br /> <br />REMARKS: SE APPROVED FOR CAPPING,. FILL <br /> <br />DONALD E. WOODLEY~ MARISN'I]OUNTY ~UILDING OFFICIAL / BY <br /> <br />FORM # MC 1~,~8 REV, 4/~0 OFFICE COPY <br /> <br /> <br />
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