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SENATOR cLOG, 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 .~.~4,~.,~/ ~.. ~,~-. <br /> <br />OWNER: DATE: 09/16/93 TIHE: <br /> DORI~ AL. AH & PATRICIA <br /> <br /> 18430 WISEACRES LH <br /> AURORA <br /> <br />'~o0~ ........... <br /> <br />10~10:Z4 TAXLOT~ <br /> <br />OR <br /> <br />970~2 ' MARION COUNTYi NO <br /> <br />WISEACRES <br /> <br />: RESIDENTIAL <br /> <br /> '~OT': '" 6 <br /> <br />J NO i NO ~ <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR~ NO, <br />DORE, ALAN & PATRICtA <br /> <br />PHONE: 678-2174 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES, READY: <br />SITE EVALUATION HUMBERt <br />EXISTING TANK SIZE: 1888 <br />EXISTING DRAIN FIELD LINES~ <br />SEPTIC TANK PUMPED: <br />'PREVIOUS NO. BEDROOMS: ~ <br /> <br />~75 <br /> <br /> ITEM QUANTITY AMOUNT <br /> AUTHORIZATION NOTICE O VISIT. 1 $95.00 <br /> <br /> , TOTAL ASSESSED FEES $95.00 <br /> / PREVIOUS RECEIPTS . $8.00 <br /> THIS RECEIPT $95.0~ <br /> <br /> BALANCE DUE $8,00 <br /> ~AYEE: BORE, At. AA ~.PS']~R~C~A RECEIPT NO= <br /> <br />FOLLOWI~HUBT BE COHPLETED, .'IT'~'~':~HE R/SPON~[BILITY,OF.'THE APPLICANT TO A~URE THAT <br />ALL NEC B~A~Y INFO~MAT]INFO~MATION H~S'~BEEN P~OVIBE~.' .' ,' ' ,' ' <br /> <br /> PLAN REVIEW: BY .......... .9ATE.__'~c ....... ~. 'CITY'JUR~SDICTION: BY ........ BATE <br /> REHARKS: AU=NOFLD <br /> <br />OFFICE COPY <br /> <br /> <br />