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MARION 'COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />2~0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; 58845147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: '588-7904 <br /> <br />Other <br /> <br />I~'J'¢'O~ ADDRESS; [ ~b'~s'TRO'~fiO~ <br /> <br />,' R E S ;i; .0 E N T ~ A L <br /> <br /> '~,~624" o-' 'EO~&AC'r C,'r¥: : UGB: OCbL.JPANT LOAD: <br />AURORA OR 97B(~2 :AHROITA NO <br /> <br /> K~Sgf.: .¢gl3~T --PH"2 <br /> <br /> ~ITE NUfl~EE= 94-~235~ <br />PHONE; 868-7388 VALUATION: <br /> <br />TYPE: OH-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION <br /> <br />CON'II~AC'FOF~ NO., 35341 <br />Kklt, L H..Y., ,~ 1 AN [,ON,~ hd. JC] ION <br /> <br />f HONL.., <br /> <br />;55828 <br /> <br />WATER SUPPLY: OW <br />TEsr ItOLES READY: <br />SJ:'FE EVALUATION WtJMBER: KASEL F'I.,(2 <br />EXISTING TANK SIZE: <br />EXISTINg DRAIN FIELD LINE!~: <br />SEPTIC'I'ANK PUHPE~: <br />PREVIOUS NO,, 8EBROOMS: <br /> <br /> '£TEifl QWANT,T. TY <br /> S]ANDARD ON-,~IJE'. SYSTEM <br /> <br /> TOTAL ASSEoSED FEES <br /> PREVIOUS RECE IF'TS $(~, <br /> THZ9 REDE1FT <br /> <br /> BALANCE DUE <br /> <br /> " ' *'-' ,.,~ ,.d.N <br /> PAYEE: KEJX;w'rt.Y~ ¢JrAW COFISTRUCT [OH IWVO.[[,:. WO: ' ' TM r <br /> RE(,E.~VED BY: CL. TYPE: IN .......... ~,., <br /> ............................................................... CI"L: ~2x '" <br /> <br /> ,'Ek ATlflCHkD DOCUM[;,NT FOR REQUtREHEIqTS OF ON..-SZTE SEWAGE SYSTEM. <br /> <br />.Ih ~gU., t3 FALLS ~0 M..E[ AL, L ~E~ilJIR~McNT~ OF Sl'~Tg LAWo AWD MARION COUNTY Ii4JI'_.DIN(; <br />:tONIN{; ORDIHANCES, THIS PERNIT SHA J. BE'CONE NULL AND <br /> <br />C ,CH Y BU[LDINC, OI':T]:C~AL / BY <br /> <br />FORM # MC 15-56 REW. 4/aO OFFICE COPY <br /> <br /> <br />