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MARION COUNTY BUILDING INSPECTION <br />~ENAT?.,R BLDG, NO 225 <br />220 HIGH STREET NE <br /> SALEM. OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 8::00 AM <br /> <br /> i am a re0istered builder OR the authorized repre.ematbe <br /> of a re§is{ered budder <br /> <br /> Olher <br /> <br />D,~TE: 09/21/S9 "r'l NE: 3~56:52p <br /> <br /> DETROIT' I~'~,NGER STATION <br /> <br />SITUS ADDRESS <br /> <br /> M.POST ~48 N. SANTIAM HVCY <br />0ETROST OR 9?242 <br /> <br />USE OF BU~LDtNG <br /> <br />SIGNATURE OF A~PUSANT -- <br /> <br />: TA)~ t_~DT <br /> <br /> .n. EST ©E'.!- <br /> <br />OE~UPAN]' LEA0 <br /> <br />DETROIT R,,~,a~R DISTRICT <br />HC 60 8OX 320 MILL CiTY <br />P~'qONE: 354~'3366 <br /> <br />97360 <br /> <br /> 9 ~0 <br />i 00- 0O0 AC <br /> <br />SITE NUMOER: 25 t8 <br />V&LUAT I ON: <br /> <br /> 5E TC <br /> NO NC) <br /> <br />' 04 <br /> <br />TYPE: ON-s'r~E ,SEWAGE <br /> <br />RER~IT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO <br />DETROIT R~NGER STATION <br />DETROIT hANGER DISTRICT <br />HO 60 ~¢OX 320 XILL C~TY <br />PHONE: 854-,3365 <br /> <br />18940 <br /> <br />UATER ¢'JJPPLY. PM <br /> TEST ~4OLES READY~ <br />SiTE EVALUA~IO~ NUXSE~. <br />EXISTING T~NK SIZE: <br />,,EXISTI~G DRAI~,,,~.~,ELD LINES, <br />SEPTIC TANKPg~PE~:'-" <br />PRE~IOUS NO. BEDROOMS, <br /> <br />] T E~~ <br /> <br />BALANCE DUg ,- -' <br /> <br />r",.ECEIVEC Sv' ,7. I " ...... L__ TYPE: CI"tECP <br /> <br />%C'-' c-'-faOklED JOCUCENT FO,,R ¢<Eq,U;[,,k-C.,iv}EN'rS .OS 31~l-SZTS <br /> <br />CONSTRUCTION FAILS TO MEET. A~E,,~RE(),Li'IRE~ENTS OF~'STATE~, ~ ~ <br />Z~ZNG ORDIN~CES, THIS P~[~LL','BE~B~L~,'~D ~,{D.*~2. , <br /> <br />REMARKS: REPAIR R~5050 <br /> <br />DONiLD E_ b~ODLEY, MARION <br /> <br />C~U~'TY BUILDING' OFFIOr~L ___"_: ..................... <br /> <br />FORM'~MS15-5~ REV t1188 OFFICE COPY <br /> <br /> <br />