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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG,.~ NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGOIN 97301 <br /> <br /> PHONE: 588-5147 <br />24 HOUR CODE-A. PF <br /> <br />of ~ registered builder- <br /> <br />Other <br /> <br /> 8:00 - 4:30 <br />ONE: 588-7904 <br /> <br /> S TUS ADDRESS' CONSTRUCTION TYPE O~CUPANCY' <br /> <br /> ~ ~6~'~ ~l[,~[: [~ ~ ~[[ CONTRAST CtTY; UGB: ~ OCCUPANT LOAD; <br />~ AUROR~ OR ~7~2 ~URORA ~ NO <br /> ~ NO OF BEdROOmS. <br /> <br />;1~)150 SW S;f)l Ak CT <br />TtJALA'f'IN OFt 97052 <br />Pi-lONE." <br /> <br />.OT; BLOCK; ~ECTION: <br /> :L 25 426 5~25~. <br /> <br /> SiTE NUMBER." 94-0342~ <br /> VALUATION" <br /> <br />- .............. ................. <br /> <br />PERRiT OR APPLICATION NO: 9~58~32 <br /> <br />FU URE t? tNc <br />~8:L,0 .J, SEDL~K DT <br />1UALATIN. {77~62 <br />FHONE~ 692 .;3386 <br /> <br /> :ITEM <br />STANDARD ON-.SI:TE SYS'fEN <br /> <br /> PAYEE: FUTURF. B <br /> RE, CEIVE~() BY:~ DF <br /> SEE AI'TAL:f"I[,':~ bOCLtHENT <br /> <br />$ THIS IS EOT A PE~MI' <br />F'DLLO~J]:HG ,MUST ~E COMFmL <br /> <br /> PLAN J?l::~?'[[:~,t '~Y ............. <br /> <br />SUPPLY: CW <br /> REA]DY: <br /> NUNBER:~ ~5024 <br /> TANK SIZE: <br /> G ]DP. AIi',I FIELD L?NES~ <br /> 'LIMPED: <br /> <br />(?UANT l <br /> <br /> ,1. NVO..CE <br /> TYPE; tN <br />SYI3TEM,, <br /> <br /> THE <br />lJ RI'_-: '!'i-.I q'F <br /> <br />FORM # MC ~ $-5e RSV, 4,/9~ OFFICE COPY <br /> <br /> <br />