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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM. OREGON 97301 <br /> <br /> PHONE $88-$147 <br />CODE*A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />~ Sffl O~dormif~l work on a ~3~opsr~ I OWn or occupy. <br />I sm e re3istered builClef OR th~ authorized representative <br /> <br />~IGNATURE OF APPLICANT: ............................. <br /> <br /> D^TS ...................... <br /> <br />-OWN~n:DATE:' 11/20/8.? .... '~,;[.~E..~,, ,, ,9,;_]..~;.._!_~.~ .................. l'¥~x"i.'Sf? ........................................................... ~ C,*TE"'-ONV: <br /> LUTZ, TROY & STARR E_ I 56124-000 <br />SITUS ADbRESa! ............................................................ <br /> <br /> VALUAT~; <br />LOT= 'aLOCK; ' SECTION; ~WNSH P /RANGE j ZONE: ................... ~ .... <br /> <br /> 10. 0000 ' ~ ~ NO NO <br /> <br />WATER .~JPPLY: PW <br /> <br />TYP~: ON-SITE SENAGE <br /> <br />PERMIT OR APPLICAT~C,,N NO: 5~6 <br /> <br />CONTRACTOR, NO, <br />LUTZ, TROY & STARR E_ <br /> <br />PHONE: ?¢9-2159 <br /> <br />TEST HOLE~ READY: <br />~ITE EVALUATION NUt, ER: <br />EXISTING TANK ~IZE: 1000 <br />~ISTING DRAIN FIELD LINES: <br />SEPTIC TANK I:~MPED: 1!-2-87 <br />PREVIQJ$ NO. ~EDE00'45: ~ <br /> <br />~ ?EM (~JANTZ TY AI~XJN T <br /> <br /> <br />