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MARION COUNTY BUILDING INSPECTION <br />SENATOR 8LDG NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE. 588-5147 EO0 - 4-:30 <br />24 HOUR CODE-A-PHONE; 588-7904 <br /> <br />OWNL~TE: 02/24/92 TIME: <br /> <br />RZ:~ ~ OF~ I ~ <br /> <br /> 11200 [.X.~ALD RD <br />AuRORA <br /> <br />OR q7OO2 <br /> <br />NE <br /> <br />CO NTRAC~ CiTY <br />f4ARI ON COUNTY NO <br /> <br />678-1~69 <br />195 1BO0 312000, <br /> <br />TYPE: ON-SITE E,E~NAGE <br /> <br />PERMI 1 OR APPLICAI 1~ NO: <br /> <br />~"F~TOR, NO. <br />GILL~, ~D <br />~E <br /> <br />SiTE NU~ER~ @2-00319 <br /> VALUATION: <br /> <br /> NO NO <br /> <br />WATER ,?~JPPLY: <br />TEST HOL~ P. FJ~Y: <br />Gi'I-E ~:VAUJATiON NUMBER~ 37911 <br />~IST~N~ F~K szz~: <br />BIST~N6 O~IN FIELO <br />SEPTIC T~K ~NPED: <br /> <br />QUAN1 1 FY <br /> 1 <br /> <br />1OTAL ~EO F6~q' <br />PREVIOUS REOEIPTS <br />THiS RECEIPT <br /> <br />DUE <br /> <br /> ~ROUNT <br /> <br /> $210.00 <br /> $o.ao <br /> $210.00 <br /> <br /> $o,oo <br />4o¢59 <br /> <br />SEE Al lACkeD [X]OJM~T FOR R'a--1DUIRS',tE~TS <br /> <br />~ THIS 15 ~T A ~iT. THIB <br /> <br />PLAN R~'-W 1EW: <br /> <br />REtVL&RK,S: STANDARD 5~lEM <br /> <br />CITY JURI~OiCTION: BY._, <br /> <br />.._ DATE ......... <br /> <br />OFFICE COPY <br /> <br /> <br />