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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 />S"FRiN{;ER~ J)~M & J"~ANNELO~:~E [ R::.,~iDE. N~ .AL <br /> <br /> ........ ~ 2 <br /> <br /> :~91 DEER]:NG AV NW ............................................................. <br /> ~I,.EM,~ OR 5'7S~ S~TE NUMBER: 93-B1~18 : <br /> F ],,lONE: 364-..1~17 VALUAT]:ON: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION <br /> <br />CONTRAC'T?R, i,!0. <br />:]r~9:J. DEER:IN6 AV NW <br />SALEM,, OR 97S~4 <br /> <br />WATER SUF'PLY: CW <br />TEST I"[OLES REA!OY: <br />SZI'E EYALUAI'ZON NUMBER;: <br />EXISTING TANK S]'.Z~: 758 <br />EXiSTZ[NG DRAIN FZEL..D LINES: <br />SEPTIC TANK PUMPED: 8-,18,,,,92 <br />F',rdEVZOIJS NO. I(¢EDROQNS~ <br /> <br /> :{TBY} QUANT:ITTY A FlOi.)l't'T <br /> AUTHO!::::£,ZAT):ON NOT]:CE -. FLD. V '~ 7 <br /> <br /> PREVIOUS RECEIPTS <br /> <br /> ....... A I ;AC, kED i)OCUHENT FOR RE:[iUIREHI~NTS OF fiN-SiTE SEWAGE SYST~,N. <br /> <br /> * THIS IS A VALI~ PERMIT * THIS PERMIT EXPIRES ~e DAYS FROH ITS ISSLtE ~ATE. IF <br />CCN,~M.,(,,.,EH EA,.I,,,:~ , HEET ALL ~,....~bl,~EhEN,$ OF o~ATE LAWS AND MARION LOdN Y DU',U,,,DiN~ AND <br />cCu,J. ~L OR~INANCES,¢ THi~ PEF¢~IT ~ 4AL.,. ~ECO*';:; ~',J[ L ~ND VOZ~. <br /> <br />OFFICIAL / BY <br /> <br />FORM # MC ~.$6 REV, 4/90 OFFICE COPY <br /> <br /> <br />