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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, QREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> ' am performing work on ~ property I own or occupy. <br /> I ~m ~ registered budder OR the authorized representative ~IGNATURE OF A~PL CANT <br /> Of a registered builder. <br /> The work wUI be performed by a registered builder, ' <br /> <br />D h I'E:,, J 2./~6/94 TIME: <br />OWN~R'~i_j_.~;i,i,, 'KEVIN ......................................... <br />'situs A~RESS; ....................................... 88~'~R'O'CTI6 ~ <br /> <br /> .............................................................. SUSDIVISION <br /> <br />KiN ALLEN ....... <br /> <br /> 5281 NOWELL PRAIRIE RD NE 97381 SITE, <br /> PNONE: 87~-1144 VALUe <br /> <br /> TYPEt OH-SITE SE~A~E ,. WATEE SUPPLY: PW <br /> TEST HOLES EEADY: <br /> PEE~iT OR APPLICATION H~H.~8~BSBB~ EXISTINGSITE EVALUATIONTANK SIzE.NUmBER: 55468 <br /> CONTRACTOR. NO. ~ ~_~, ~ EXISTING BRAIN FIELD LINES: <br /> AllEN,,KiM ALt. ENKEVIN --'; ~; ~ , ~EPTIC~,o~,~,~oTANK PUMPE~: <br /> 528~ NOWELL PRAIRIE RD NE' '~738 ........ ," <br /> PHONE: 873-1144 <br /> <br /> I [ER QUANTITY AH 3UI,IT <br /> <br /> PAYEE: IRWIN YOUNG~ : RECEIPT NO~ 8,,.682 <br /> REC[-;);VED BY~ ~F TYPE: CK CHECK 4~: <br /> <br /> cEE ATTACHED ~OCOMENT SYSTEM. <br /> <br />FOL, LOWIHQ MUST BE THE APPLICANT TO ASSURE. THAT <br />ALL. NECESSARY INFOR~ATION <br /> <br /> OFFIC~ COPY <br /> <br /> <br />