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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />250 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 />OWNE%~A'f'E: 03/13/91 <br /> <br />CONSTRUCTION TYPE: ~'~,~50~080~ : OCQUPANCY: <br /> <br />SAf'4E <br /> DAY 682-2420 <br />~HONE: 678-5133 SITE NUMBER: 530 <br /> <br />TYPE: ON=,C~II'E SEWAGE <br /> <br />PERMIT OR APPLiCATiON NO: 30628 <br /> <br />OON'rRACTOR. NO. <br />JOHNSON, J tM <br />SA~E <br /> DAY 682-2420 <br />PhIL)NE: 678-5133 <br /> <br />AUTHORiZA"f <br /> <br /> NATER~JPPLY: P~ <br /> TEST HOLE~:¢ READY; <br /> SITE EWALUATiON NUI~ER= <br />P, rTXi~'FIN8 TANK 8iZE: <br />EXISTING DRAIN FIELD LINES: <br />8EPT1C TANK PU~PEO~ <br />PREVIOUS NO. BEO~: <br /> <br /> QUANT I 'f'Y <br /> 1 <br /> <br />IUS RECEIPTS <br />[ECEIPT <br /> <br /> RECEIPT NO: <br />TYPE: CHECK <br /> <br />ANOUN T <br /> $60.00 <br /> <br /> $60. O0 <br /> SBO,OO <br /> $o.oo <br /> <br /> $0.00 <br /> <br /> 0 <br /> 8 <br /> <br />350 DA'~S FI;~'~ iTS ISSUE [Z,~TIE. iF <br />LSTATE '~ AND f4ARION COUNTY BUILDING AND <br />L~NO VOID+ <br /> <br />REf4ARKS: ~,i.; <br /> <br />DC~NALD E. NCODLEY, FtARION COUNTY BUILDING OFF'iC.[~L / BY <br /> <br />FORM ~ MC 1~-~6 R~V, 4/~(~ OF FICE COPY <br /> <br /> <br />