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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:SSS-5147 8:00- 4:30 <br />24, HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am 8 registered bultder OR ( the authorized representetIve <br />of a registered builder. <br />The work will De performed by a registered builder, <br />OlMer <br />I have read and agree to the terms stated on the'reverse side of <br />this document. <br /> <br />CONSTRUCTION <br /> <br /> ' AUHSVILLE ,OR 97325 MARION OOUNTY <br /> <br /> sIT[ NUH~ER: ~3-~4878 <br /> PHONE~ 74~.-.2~68 ~ VALUATION: <br /> <br />TYPE: ON-S~TE SEWAG~ WATER SUPPLY: PW <br /> TE~T HOLES READY: <br />PERH~T OR APPLICATION NB: 51617 S~TE EVALUATION NUHBEE~ <br /> : EXISTING TANK SIZE: <br />CONTRACTOR, NO. , EXISTING DRAIN FIELD <br />FUSO{% DESMOND & ,,~ <br /> , ,;,': PREVIOUS NO. <br />F'ItOhlIE~ 749-2~68 i ;:~ :,~, <br /> <br />ITEM ~:~ QUANTITY AMO J <br />AUTHORIZATION 1 <br /> <br /> RECEIVED BY: CL.~ <br /> SEE ATTACHED DOCUi4E <br /> , THIS IS A VALID PER~t' <br />CONS'I'RUI;TION FAILS TO <br />ZONING ORDiNANCES~ <br /> <br />$160.00 <br /> <br />$0.80 <br /> <br /> RECEIPT NO: <br />'TYPE: CHECK ¢: 0 <br /> <br /> ITS ISSUE DATE. IF <br /> COUNTY BIJILDING AND <br /> <br />DPNALD E. <br /> <br />~or~ # Mc ~s,~ R~v, ,~o OFFICE COPY <br /> <br /> <br />