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MARION COUNTY <br /> BUILDING INSPECTION <br />Senator Building · 220 14igh Street NE · Second Floor ,, Salem, Oregon 97301-3670 <br />Office Hours: 8:00- 4:30 Phone: 588-5147 24 Hour Code-A-Phone: ~88-7904 <br /> INSPECTIONS MUST BE REQUI~STED BEFORE 7:00 A.M, <br /> <br /> Peri, it .type: Subsurface <br />Inspection type: Pre-cover <br /> <br />INSPECTION REQUEST <br /> <br /> Site number: 9g-03019 <br /> T~pe const: <br /> u~ccpapsY: <br /> <br /> Owner: HAEVERNICK~ KEN B <br /> Job address: ?077 LIPSCOMB ST <br /> AUMS¥ILLE OR 9?325 <br /> <br /> Installer:STAYTQN SEPTIC <br />Scope of PerMit <br />STANDARD ON-SITE SYSTEM <br />PerMit requireMentm: STP SYSTEM <br /> <br />~OMMents: <br />Lmst requested inspectiom <br /> <br />Inspected By: __~ <br /> <br /> Received by: PB Route: LG <br /> Date rec: 11/1~/~3 Inspect on: 11/17/~3 <br /> Time rec: 7:01:44 <br /> Energy Path: <br />Pernit 8:4~595 Setbacks FR: <br />Category[ RESIDENTIAL <br />Descriptipn2 --- RS: <br />Issue Da~e. 09123193 <br /> SP: <br /> Phone: <br /> SE Cross Street: 72ND ST <br /> <br /> Phone: <br />NuMber <br /> 1 <br /> <br /> <br />