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MARION COUNTY BUILDING INSPECTION <br />SENATOR RLDG.NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: $88-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own Or occupy. <br />I~mareg}steredbullderOR( } the authorized representative <br />ota registered builder, <br />The work will be performed by a re§istered builder. <br />Other <br /> <br />have read and agree to the terms stated on the reverse side of <br />th~s document, <br /> <br />3 <br /> <br />TYPE: OM-SITE <br /> <br />PERMIT OR APPLICATTON NO: <br /> <br />60N TLA£,TORo <br />MENJDEI,fFfALL.~ ROBERT <br />SA~E <br /> <br />PSOHE?, N/P <br /> <br /> WATER SUPPLY: PW <br /> ~EST HOI,_ES READY= <br />&878~ SITE EVALUATION NUMBER~ <br /> EXISTING TANK SIZE: 100~ <br /> EXISTING DRAIN FIELD LINES:: <br /> <br /> PREVIOUS NO. <br /> <br />REEEIVF, D 8% L ,: )ypr:: PHEPR' -.. <br /> --- ~ - ~"-'?-~:~,~ ~~,~~:~ ~- ~ .......................................................................... <br />SEE. ATTACHE. D DO[:UMEI,IF FOR,,:::~Q0 ~EMEN:~ ~ SYSTEM,, <br />~ THI~ IS A VALID PER~IT ITS ISSUE DATF. <br /> <br />II ¢,f k .... ESE. Fq:": ;~2-27-~4 kEPLAC[,ING SEWEF,: LY~:E.~ NEEDS IN,:~PE, CI,d~N (}N F'I...L~N~ZN(; ,,,CID. ~ <br /> <br />OFFICE COPY <br /> <br /> <br />