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MARION COUNTY BUILDING INSPE <br /> SENATOR OLOG- NO. 225 <br /> 2~0 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4;30 <br />24 HOUR CODE-A-PHONE: 588-79¢ <br /> <br /> The work wit[ be Oedormed ~y a registered builder, , <br /> <br /> 1~. 40 ~ ~ <br /> <br />, 8OYCE. T~M ~ 90148-: <br /> <br /> 14747 ALSERS WAY NE ~CONT~O?¢ <br /> AURORA OR 97002 :AURORA -- ~:: . <br /> <br /> . ALSERS CR~ST ADD <br /> ~535 S~ SEHINOLE RD <br /> fUlL,TIN, O~ 970G2 SITE NUMBER: <br /> PHONE: ~44~$3~3 i VALU~ON: . <br /> <br />......... 'O~f"? ........ AREa UNITS1 H <br /> <br /> TYPE. OH~ITE SEWAGE ~ '~,~T~I~SUPPLY: C~ <br /> · F ~ i E~9~ HOLES READY: ERS <br /> PERMIT OR APPLICATION HO: ~0456~iV I ~I"TE EVALUATION NUM~ER: <br /> ~ i EXISTING T~NK SIZE: <br /> CONTRACTOR, NO. ~ ~ EX~T~NG DRAIN FIELD LINE~: <br /> BOYCEA TIM / ~ J { SEPTI~ TANK PUMPED: <br /> 8535 oW SEMINOLE ED ~ , '~ .... PREVIOUS NO. BEOROOM~: <br /> TUAL~TIN~ OR 9706~ ~ ~ <br /> <br /> $TANOAED ON-SITE SYSTEH Z $210.00 <br /> , TO'TA~ ASSESSED FEES $210.00 <br /> ,,,TH:IS.-EECE,[PT $210.00 <br /> <br /> RECEZYEO BY= CL ,, .... ~ ..... TYPE: <br /> <br /> SEE RTT~CHED OOCUHENT FOR REQM[EE~ENTS OF.OH-~TE SEWR~E SYSTEH, <br />· THIS IS NOT A?ERHIT.' THIS'APPLZC~TION.HU~T..GO' THROUGH.~ REVIE~ PROCESS wHERE THE <br />FOLLONZNG HUST DE COHPLE~ED. IT [S ~HE EESPONSZBZLITY OF'THE ~PPLZCRNT TO ~SSUEE THaT <br />~LL NECESSARY [NFORHAT[ON HAS'BEEN....P~OV~DED.. '" <br /> <br />PLAN REVIEW: BY ......... OATE~__;._ .......... -;. CITY. JURISDICTION: BY <br /> <br />REMARKS: PERMIT <br /> <br />OFFICE C~3PY <br /> <br /> <br />