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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: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />ow~l~TE: 04/29/D'I" ' ¥zr, IEi' '1D;~8'~2~6 .................. ': ~ Lbt: .................. ['~'v~ <br />~I)U~ A~ORE~~' ,~D ............................................................. OONSTRUgTION ~PE: ~'O~'~0~OY~ RESiD~I'i~ <br /> <br />us~ oF ~U~m,G: ' .................................................... ~R~-~ ............... N~ ..................... ','~o, <br /> <br />3AME <br />PHONE: 74g-24'~4 S,[TE ~ER: 654 <br /> <br />TYPE: ON-SITE SEW~a~E <br /> <br />PER~iT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br /> <br />SAblE <br /> <br />9021837 <br /> <br /> NATER SUPPLY: PiN <br /> TEST HOt. E,I,I,I~.RF_.ADY: <br />$1TE EVALDAT~ON NUt'~ER~ <br />EXZST[NG T~K ~IZE: <br />~ISTING D~iN F~ELD L~N~: <br />,~TIC..T~K.~MPEO~ 4/8/88 <br />PR~i~S NO. ~ED~= <br /> <br /> iTEM ~UANTiTY ANOUN~ <br />AUTHOB[ZAT]C~ NOTICE - FLD: yl$!T,x, 1 $105_00 <br /> <br /> PR~I,~S,~CEIPT5 $0.00 <br /> ~ TH~S','RECEZPT $105,00 <br /> <br /> $0.00 <br /> <br />33612 <br /> O <br /> <br /> <br />