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MARION COUNTY BUILDING INSPECTION <br />SENATOR B. LDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97;301 <br /> <br /> PHONE: 588-5147 8:00 ~ 4:30 <br />24 HOUR CODE-A-PHONE: 586-7904 <br /> <br /> CONTRACT CITY: UGS: OCCUPANT LOAC: <br />,7.'732 75TH pt._ SE <br /> <br />KJ;H ALLEH <br />5281 HOBEt..L PRAIRIE RD NE 77~8:t. SITE HUiC~BER~ <br /> <br />TYPE: ON-SITE SEWAGE WATER SUPPLY: PW <br /> TEST HOLES READY: <br />PERMIT OR APPLIBATIOM NO: 61~8~ SITE EVALUATION NUHBER: 5,54,58 <br /> EXISTING TANK SIZE: <br />CO~'I'RAC'~OR, NO,,~ EXI~TIN~ DRAIN FIELD LINES: <br />ALLEN., kEV.IH ~%~-J~ <br />KlM ALLEN ~ ~&~'":~ PREVIOUS NO. BEQROOHS: <br /> <br />5281 HOICELt. PRAIRIE RD :NE <br />PHOi'JF: 87:4"'I144 <br /> <br /> I'I'EH <br />SA, ND IiL. TE.R <br /> <br />9738 <br /> <br /> RECEIVE]) BY: CL <br /> CEE ATTACHES DOCUMENT F~R <br /> THIS IS A VALI~ PERHIi' <br />CON!:YfI'tUCTION FALLS TO MEE~T <br />ZOH:[NG ORD:f. NANE;[:'B~ THIS <br /> <br />$480.00 <br />$480,, <br /> $0,, 00 <br /> <br /> RECEIPT NO= <br /> :: TYPE.~ C, HEOK ¢: 0 <br />S~STEM. <br />FROH ITS ISSUE I)ATE. IF <br /> NAR.T. ON COUNTY ~LJ:l;i,,,D~iN(~: ~.'~l~.}') <br /> <br /> '. ..... ,'~,, .'~i:.E REV..St~lO SAND FIL,TEI~ PLAN~ DATE~ :I./3/95.. ~ b[c?'l:.e~ ~1~¢('t¢ ELt/"/'6:T:~(.' <br />;)3HA,,,1) F_~ [IO00[..EY~, g~RION CSUNTY BOILBING O~FIClAL / BY ................................................................. <br /> <br />OFFICE COPY <br /> <br /> <br />