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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 <br />CODE-A-PHONE 4:30 P,M- - 8;00 A.M, <br /> <br />SIGNATURE OF APPLICANT; ..................................... <br /> OAT'g! ................ <br /> <br /> 10430 WIS~CRE~ ~N <br /> AURORA <br />USE OF BUILDIN{~ ...... <br /> <br />'7110 NABASH DR <br />B~.~KS, OREGON 97305 <br />PHONE: 1-792-4775 <br /> <br /> NE i~b~df <br />OR 9?002 <br /> ....................... ; ..................... ,~P, ZO~,. ,COUN.T,Y,~, ,,, J ........ ~0 ..... L . <br /> <br /> ...................................... <br /> <br /> ................................ :~_;~8_~._.: ......................... <br /> <br /> SITE NUNt~ER: 2805 <br /> VALUATION: <br /> <br />, ,:~,',~ ,.,, .,,~,.,,; ........................................................................ ~ ..................................................... <br /> <br /> I WATER SUPPLY: PW <br /> I TEST HOLES READYr YES <br />3968 SITE EVALUATION NUrVl~ER: <br /> EXISTING TANK SIZE.' <br /> EXISTING DP, A~N FIELD LINES,~ <br /> SEPTIC TANK PU~PED,. <br /> t PREVIOUS NO, 8ED~OIv~: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />FERNIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO, <br /> <br /> · 1-792-4775 <br /> <br /> .~ T~ QUANT Z TY AMOUNT <br />SITE' EVALLIATI'ON, F~I~3T LOT ~ $~65.O0 <br /> <br /> . · · TOTAl,,, ~ED, FEES $155. O0 <br /> <br />P'AY~: ..... · "': ' R~C~:[ mT NO, <br />SEE ATTenD ~M~T FOR ~E~IR~T~-OF <br /> <br />~R~: SE " ....'"~'; '., <br />~]NALO ~. ~CLEY, ~R~ ~N~ 8UILO;RG OFFICIAL / BY <br /> <br /> <br />