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MARION GOUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO 225 <br />2')0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; 5~8-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONF-~ 588-7904 <br /> <br /> 19872 Ot.l~T~O RO <br /> <br />SANE <br /> <br />PHONE~ 678-5133 <br /> <br />~AX LOT:; <br /> <br />NE <br /> <br /> D!ARiON COUNTY NO <br /> <br />TOWNSHIP' <br /> <br />8 <br /> <br />TYPE.- ON,-~ITE SEtNAGE <br /> <br />PEi~IT OR APPLICATION NO: 30~28 <br /> <br />CONTi~kOTOR. NO. <br />JOHI',I~. J IR <br /> <br /> DAY 682-2420 <br />PHONE: 678-5133 <br /> <br />¥~TER E~UPPLY: <br />TEST HOL~ <br />SITE EVALUATION <br />~%~TING T~K ~iZE: <br />~i~TING <br />~IC T~K ~PED~ <br />~I~S NO. 8ED~: <br /> <br /> I FEN <br />AUTHORIZAT <br /> <br />PAYEE= <br />RECeiVED <br /> <br />SEE ATTAC~ <br /> <br />C~TRUCTI! <br />Z(~iN~ORO <br /> <br />,AE~EO FEfr.~ <br /> RECEIPTS <br />[EC~IPT <br /> <br />DUE <br /> <br />qUANT 1TY 1 <br /> <br /> RECEIPT NO: <br />.. .... TYPE: CHECK <br /> <br />~ITE E~VgAGE ~YSTE~. <br /> <br />$60.00 <br />SBO.Oo <br />$o.oo <br /> <br /> $0.00 <br /> 0 <br /> <br />360 DAYS FR~ ZTS 1~L1£ []ATE. IF <br />['~STATE ~ AND ~[ON CCXJNTY BUILDING AND <br /> AND VOID. <br /> <br />RF3C~RKS: ~ <br />DQNALD E. I~X~DLEY, /'~.RION COUNTY BUILD.lNG OFF'iCI~L / I5'Y' <br /> <br /> <br />