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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 H,IGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> ~,, HOU. COOE-^-PHONE: S88-7~04 <br /> <br />T~'~v~,-~i~'~e-~'f~med by a registered builder, <br /> <br /> - <br /> ,~ELLS 80SSELL ....................... <br /> <br />~ 1184;~ ¥IOKl' LANE <br />] AUNSVILLE OR: 97325 <br /> <br /> P 0 9~X 280 <br /> PHONE~ 743-3~6 %~ / ~ ~ VALUATION= <br /> <br />TYPE= OH-SITE SEWAGE <br /> <br />PERHIT OR BPPLIE~TZOH <br />CONTRACTOR. NO. 53586 <br /> CANYON SONSTUCTiON <br />P 0 ~OX 57 <br />STAYTON~ 77~S~ <br />PHONE= <br /> <br />STANBARD ON-SITE <br /> <br />WATER SUPPLY <br />TE~;T HOLES READY." <br />SITE EVALUATION flUfl~ER~- THE RANCH <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD L~NES: <br />~E~T~IC ~ANK ~UflP~D. <br />PREVIOU~ NO. ~EDROOM9: <br /> <br /> : ': QUANTITY <br /> <br />P~YEE= WELLS, RUSSELL <br />RECEIVE9 ~Y: CL.2 <br /> <br />SEE ATTACHE9 DOCUMENT <br /> <br /> AMOIlNT <br /> $255.e0 <br /> <br /> $255.00 <br /> $0.00 <br /> $255.00 <br /> <br /> $0.00 <br /> <br /> RECEIPT NO: 573~5 <br /> TYPE: CA CHECK ~." 0 <br /> <br />SYSTEM. <br /> <br /> REVIEW PROCESS WHERE THE <br />THE APPLICANT TO ASSURE I'HAT <br /> <br />/k THIS IS NOT A PERHI1 <br />FOLLOWING NUST BE <br />ALL. NECESSARY INFORNA~-~ ;,,. , , : <br /> <br /> ......................... ..................... <br /> R;.HARKS. IN,,HAI,,.L FERMI~ ,? : : <br /> <br />FORM # MO 15-$$ R~. 4/[~) OFFICE COPY <br /> <br /> <br />