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:)20 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />PHONE" 588-5147 <br />CODE-A=PHONEk4:30 PM, - 8:00 A.M. <br /> <br /> ~TE: 03/07/88 T,IME~ 11~21,19e <br /> <br /> ~I~T. MI~EL <br /> ....................... ; .....................................~occu.* <br /> <br />~ 10B09 STA~ ~D ~ i ~N~C~ C~?= ~ U~a: ' .................... ~ ................... <br /> ~VZLLE ~ 973~5 ' · <br /> ............................................................... ................ L ......................... <br /> <br />PHONE: 769-6732 <br /> <br />TYPE: ON"~ITE SENAGE' <br />PEr'lIT O~ APPLICATION NO: <br /> <br />C~NTI:~CTOR, NO. <br />~11GHT. MIO-[AEL <br /> <br />9007121 <br /> <br />Na~TER .~UPPLY= PN <br />TEST HOLE~ READY: <br />SITE EVALUATION NUNI3ER= <br />EXISTING TANK SIZE: <br />EXISTING DRATN Fl[ELD LINF.~t <br />E, EPTZC TANK PUHPED: 3/3/88 <br />PREVIOUE~ NO. 8EOROOf,~.'. -2 <br /> <br />750 <br /> <br />769-6732 <br /> <br /> ITE~ [~JANTITY AN~JNT <br />AUTHORIZATION NOTICE - FLO, VISIT · ' ...... <br /> <br /> <br />