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MARION COUNTY <br /> BUILDING INSPECTION <br />SenatOr Building · 220 High Street NE * Second Floor · Salem, Ol'egon 97301-3670 <br />Office Hours: 8;00 - 4;30 Phone: 588-5147 24 Hour Code-A-Phone: 588-7904 <br /> INSPECTIONS MUST BE RI~3QUESTED BEFORE 7:00 A.M. <br /> <br />INSPECTION REGUEST <br /> <br /> PermSt type: Subsurface <br />In~peot$on type: Pre-oove~ <br /> <br />Site number: 92-01640 <br /> Type oonet: <br /> Oooupanoy: <br /> Aotivity: NEW <br /> <br />Received by: x~4 Route: 19 <br /> Date rec: 09/28/~2 Inspect on: 09/28/92 <br /> Time rec: 13:00:04 <br /> <br /> Permit g: 42118 <br /> <br /> Category: RESIDENTIDL <br />Deseription: --- <br /> Issue Date: 09/04/92 <br /> <br /> Owner: LIFFLANDER, JOHN <br />Job addr~: 8851 SMITH RD <br /> AUMSVILLE OR 97D25 <br /> <br />SE <br /> <br /> Inmtaller: <br />~ope of Permit <br />,STANDARD ON-SITE SYSTEM <br />Permit requirements: PERMIT <br /> <br />Energy Path: <br />Setbacke FR: <br />LS: <br />RS: <br />RR: <br /> <br /> Phone: 36~'~418 <br />Cross Street: SHAW HWY <br /> <br /> Phone:/// <br />Number /' <br />i / <br /> <br />Last requested inspection: <br /> <br /> INSPECTIGN <br />Inspected By: <br /> <br /> <br />