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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NQ. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 S:O0 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a Property I own or Oocul~y. <br /> <br />,81TUS ADDRESS: ' ~ GONSTRUCTfON TypE: ~O~UPANCY: <br /> <br /> , , , ~ ~ I <br /> <br />SUBDIVISION: <br /> <br /> SITE NUMBER: <br /> VAL, UATTON: <br /> <br />TYPE: ON--SITE SEWAGE MATER SUPPLY." <br /> TEST l,,tOL E;9 <br />P[;.R~I~ 8R ~PPLIC~ZON NO: ~8~85 SI~E EVALUATION NUMBER~ 49744 <br /> EXISTING ]'~NK SIZE: <br />EX'IHI'I:(AC'IDR~ NO,, EXISTZN(; DRAIN FIELD LIMES: <br />~,XIJI...LI~i4S, P'~:~AI,IKLJX,i D,. & DELORES , SEPTIC TANK PUNPED: <br /> <br />R~,I, EIVc. D BY,, <br /> <br />,',[,,ir,, ATTACHED DO(;UHE. N~r' <br /> <br /> THIS I¢A VALID <br />COHS"RUC ['/:l]i,I A ~: ..,,~ TO <br /> <br />E:IRTS:: $425. <br /> ¢0 ,, <br /> <br /> TYPE;; CHECK ~: (~ <br /> <br /> ~YSTEH. <br /> <br /> FROM ITS ISS[~/ DATE. IF <br /> <br /> W.f !H UP~LId,,'t,. [.;t.ll.,,':iA.[?-~ :O!.!/~tN,, SE:fL St::7[:;~_PLAN ;3/28/%5. L.i::.i:~' /"J D <br />~)!,~i,l~.l,' i% *,~II]GOI..ii:Y,~ ~;'~P'rC,,~i ¢])Ui't3"¥ ]~LIZ[.:O£Ng"'OrFIC;EAL / :8¥ .................................. ~ <br /> <br />OFFICE COPY <br /> <br /> <br />