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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG. NO, 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
<br />
<br />The ~ wa be [~o~med by a ~{li~ltemd buikler.
<br />
<br /> PHONE 588-5147
<br />CODE-A-PHONE 4;30 P,M, - 8::00 A.M,
<br />
<br />15:47:34 ,
<br />
<br /> NE
<br />97002
<br />
<br /> RESIDENTI~
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<br />MARION COUNTY NO
<br />
<br />SANE
<br />
<br />TYPE: ON-SITE S~E
<br />
<br />PERMIT OR APPLICATION NO:
<br />
<br />CONTRACTOR. NO.
<br />HE, ITT. DEL
<br />
<br /> SITE NUMBER.· 3553
<br /> VALUATION
<br />
<br />1 1 ~,S 1W EFU 3
<br /> NO NO
<br />
<br /> TEST HOLES REAOY~ YES
<br /> $~TE EVALUAT ION I~WB~._~.
<br /> EXISTING TANK SIZE:
<br /> ,,,E)~I~T,I,NG,, DRAIN.'F~ELD LINES:
<br /> · ~EPTi¢ TANK PUMPED:
<br /> PREVIOU~ NO.
<br />
<br />9023598
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<br /> $~TEEVALUAT fON, F ~R~T LO~' '.'.¢'"":'<~ ..............." ""-'~'~' ' '~; .... ' ..... ..........' ..... ~: ~'',.,~ ' ~ ...... · ~'~'~ ......
<br /> , ...,.,.,...,...~',~ ...... ~ .... .......... ......... ~,,, t
<br /> . ...,,,~,~ ...... .,, ~. ~0,,~. ,~5_oo
<br />
<br /> ~. ¢~,~,,,, ,~ ..... ' ,:..m.~i~..'~u~l $175 O0
<br /> ~-:¢~,. ""*':=~"~¢'4~;':~A~'~,':~,,;'~.m- .~: ,.- · ·, ,
<br /> ," sAaB. '~B so. oo
<br /> PAYEE= H~J~ DEL ...... "~(' ,','~,;~":~;",¢",z ..... ~., ,'~ .......
<br /> ............................. 24998
<br />
<br /> '""'""'~'"'~'": ":" ci~ "OURISDZCT~m: eY ................... mT~
<br />P~ R~= 8Y DATE '""" ' '
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<br />r-~m~ ~v.t,,~ OFF[CE COPY
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