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MARION COUNTY BUILDING INSPECTION <br />SEN^TOR )3LDG. NO. 225 <br />220 HiGH ,STREET NE <br /> SALEN~:OREGON 97301 <br /> <br /> { am a t~latered I)uilder OR ( ) the authorized reDr¢&eAlatlve <br />) Ot~er ................. <br /> <br /> 10664 ~%L~ FAL~ HX~Y SE <br /> <br /> PHONE 588-8147 <br />CODE-A-PHONE 4:30 P,M, · 8:00 A,M. <br /> S~N^~'U~ OF ^"~L'~"~'~'-~'/~/FL''--" <br /> <br /> 97325 , <br />.................. <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATICN NO: 9012155 <br /> <br />8ROAN.CC~TRACTOR, WAYNE NO. j l '''~ ~ <br /> <br /> SITE NUMBER~ 1125 <br /> ; VALUATION .' <br />! $~C'rlOfl: ~ TOWN~HIP RANGE ) ~ONE: <br /> <br />~ ?.25000 ~ ~ , ~ :, NO <br /> <br /> ~ ~PPLY: <br /> <br /> SITE ~A~AT)~ NU~ER: <br /> ~ISTI~ T~K SIZE= I~SO <br /> ~ISTI~ D~ZN FIELD LIN~ <br /> <br /> iTEl, II QUANTITY AMOUNT <br />ANNUAL EVAL, - TI~tP O~ HD~HP i~1 ,, , . 1 $60.00 <br /> ,.-" ~, :~OTA~.,- ~'.:FEE~ $60.00 <br /> ..-'-:,., "::: ',',~",~.' R~E~T:::..'.: ~' ,, $60.00 <br /> <br />~E[VED 5Y= ~ ',~.'?v",' ~';~' ::,'~ : ~;'.~,',~ ~ 2154 <br /> <br />~LN~ [N~ ~,~'.~[~:'".. ,,": .. · · , ',:,~, , . .. ................ <br /> <br /> <br />