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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 /> DATE: 10/25/94 TIME: 7:48:27 <br />OWNER· i TAX LOT'. C~r~'~IAL <br /> EHANBER OF COMMERCE <br /> <br /> 148~ 2ND s'r <br /> <br />PO BOX 100 .. ............................................................. <br />AURORA OR 97002 SITE NUMSER: 94-84154 <br />PHONE: 678-1283 VALUATION: <br /> <br />TYPE: ON-SITE SEHAGE <br /> <br />PERMIT OR APPLICATION NO: 9~5718~ <br />CONTRACTOR. biO.EXCAV~4084ATING <br /> BERNDT/EMERSON <br />8297 S VALE GARDEN <br />CANBY~ ~701~ <br />PNONE: 266-7223 <br /> <br />WATER SUPPLY <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: 47452 <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIE~D LINES: <br />SEPTIC TANK PUMPED. <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOIJNT <br />STD ONSITE SYS < 1000 &'AL I $255.00 <br /> <br />PAYEE: BERNDT/ENERSON EXCAVATING INC <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />INVOICE NO: <br /> <br />$~,,¢. ,, 00 <br /> $0.00 <br />$255.00 <br /> <br />$0.00 <br /> <br /> RECEIVED BY: PM TYPE: IN CHECK ~: 0 <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br /> ~ THIS IS NOT A PERMIT. THIS APPLICATIONNUST GO THROUGH A REVIE~ PROCESS WHERE THE <br />FOLLOWING HUST BE COHPLETE~. Il' IS THE RESPONSIBILITY DF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />id_AM R~.V.i,E,W., BY .... DATE__ CITY JURISDICTION: BY ........... DATE ....................... <br />REMARKS: SS ~$NO'FE FROM CITY:WOULD APPRECIATE EXPEDIENCY ON 'THIS~ <br /> <br />FORM # MC 1 ~-65 REV, 4/BO OFFICE COPY <br /> <br /> <br />