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MARION COUNTY BUILDING INSPECTtON <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />~IGNATUR~ 05 APPLICANT: ........ <br /> <br />A~J~VILLE <br /> <br /> PHONE, 749-244¢ ', S1T~ NUI91~i~R: <br /> ' VA~A T I ~ = <br /> <br /> ....... ; ..... 1,8 ' . .... 9,, ~ .1~ ~ <br />WIDTH'. '.DE mhz AREA; ' ~ UNI~:- "'j%~.' L'6(: .... ¢'~O~ hER: <br /> <br /> .............................. ~.:..j ................. ~ ...................... ~.] ......... ,o <br /> <br />MAP: <br /> <br />50 <br /> <br />TYPE~ Ct,I-SITE $~'WAGE <br /> <br />PEf{hllT OR APPLICATION NO.' <br /> <br />CCNTRACTOR, NO. <br /> <br />S~E <br /> <br />~E: 749-2444 <br /> <br />,51837 <br /> <br />t~kTER~UPP~Y= <br />TE~T HOLE~ RE.A[~': <br />SITE EVALUATION NUt, IB~R: <br /> <br />~STING D~ZN FIELD <br />SEPTIC T~K ~ED~ <br /> <br />AuTHORIZATIC1~ NOTICE - FLD. ViSiT <br /> <br />(~XJAN'riTY Nv~3UNT <br /> 1 $105.oo <br /> <br /> $~o5.oo <br /> $105,00 <br /> SO.OD <br /> <br /> , <br /> · " ,.TH I.$ 'R~CEZPT <br /> ", .. '. e~c~'~ $o.oo <br /> <br />PAYEE: R~EIP'r NO~ <br />~E2VED ~Y: CL ............. ...... · . =.~..---' '...~.._ .. ~P~: ~K ~: O <br />~EE ATTA~ED ~M~T FOR ~[~TS <br /> <br />REDta, R~: AUTH - FIELD (~ECK R~7521 ~ <br />DONALD E. tNOODLEY, i~t~RION COJNTY DUILDING OFFICIAL / BY ......................~ <br /> <br />OFFICE COPY <br /> <br /> <br />