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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, 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 <br /> <br />:owN~: ALAN;O,, ~ :'[:)FLY : T~ LOT; <br /> ..... 69'72-"b00 <br /> <br />HAY AD'OITZON <br /> ,, qf AT , X, <br /> <br />TYPE'., ON-SITE SEWAG~ <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />I'.~Ob!T F,'A C T OI"L, Nr') ,, <br />/O.,,I.-;A,?,, 6 ,.:r; 2 ,' <br />F[., :aOX '='7 <br />DI::"YF,.'OI-f' 02 977_(42 <br />F:'HONE:: 854,,,,321. 7 <br /> <br />?046459 <br /> <br />{,,JA'I' E:R f,;Ui::'F'L Y ;; <br />TEST !"IOLES READY: YES <br />8 :[ '¢' f--': EVALUATZON <br />EXISTZN~. TANK <br /> <br />SEPTIC '!~NK <br /> <br />Q U A N'i' I 'f"? A ~'~OIJ N'!' <br /> <br />-%[TE EVAL.UATIO!,I,~ .... r'-" <br /> , ,', o L, O'f' <br /> <br />F'REV I OU!!~ RECiE']'. PTS <br />Ti- ;1;S <br /> <br /> i,!" ::'. THIS DOE.'-3 NOT 5>.ANT <br /> ,,. J. <br />Of'. '"':4 ....... , :'~!i, ]'~ ~ ~T~¢:' 3~"~'A"Nr~ [~='2'~1:'¢' ~' ['f' 'OTNf.', r ' ; 'I"T" '" "~;='-~ ~' ....... r", ..... <br /> <br /> ...... ~ ~-~ -/ .... 7 ~/'~ <br /> <br />FORM # MC 15-66 REV, 4/~ OF FICE COPY <br /> <br /> <br />