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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO, 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
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<br /> PHONE: 588-~147 8:00- 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
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<br />I am a registered builder OR ( the authorized representative
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<br />i 6WN~; ................................................ ~(w I' ~:f; ................ i CAT6GORYI
<br />,' ~lfU~ ADDR~$.' '"- "' '" ~'": '~ ~ ,~.-,t. =- - -~, ,m¢ '", ~,=- = .,* ......................................... ~ ~ON~?~UOT~ON TYP~; ~ OCCUPANCY:
<br /> F~AK;:'R, BARe'ARA L 7473,3821 ~
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<br />: ¢,U~4SV~L,L,E OR 97325 MARION COUNTY bio J
<br /> ...... 3
<br />
<br /> , STONEFZEL.~ GtE~ P~R6EI. 2
<br /> R~;CK GOHES~ AGE. N'f j
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<br /> / ~ ~ ' / ' ' '
<br /> ::----~ ...................... ~,~ ..... .............. ~,~ ...... , ........ L-A~r:,,~ ,,5~ ,;,
<br /> 1.51 AC YES N0
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<br />TYPF'.' ON-STTE SEWAGE I WATER SUPPLY'.' PW
<br /> ~ TEST HOLES READY: YES
<br />PERMIT OR APPLICATION NO: 61191 ~ ~ITE EVAL. UATI~N NLJM~ER::
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<br />CONTRACi'OR~ NO~ ~4916 ~ EXI~TtN~ DRA]iN~FIELD
<br /> STAY'tON SEPTIC :
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<br /> ITEM
<br />SAND FILTER
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<br />SEPTIC TANK PUMPED:
<br />PREVIOUS NO. BEDROOMS."
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<br />Q~JANT I TY AMOt
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<br />I ¢,YEE,,
<br />· ,'-C~;',I'J~.JO ~.~Y: CL '¢
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<br />SE!:': h ITALH,:D I)OC, UMENT
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<br />ZOH:iiHi; ORDI~ANCd:S~ THIS
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<br /> RECEIPT NO:
<br />TYPE.' CHI':CK ,ti,: ~
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<br />:Yal E,H.
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<br />,.,h II t, ,Ek t,,IS, FI,,ANS)
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<br /> Wi, TC~!)4.;:,:Y~ HARiiiN COUJ,H'Y BUILDING OFFICIAL
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<br /> OFFICE COPY
<br />FORM # MC
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