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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHQNI~ 588-5147 <br />CODE*A-PHONE 4:30 P.M. - 8:00 ,A,M. <br /> <br />{ <br /> <br /> DATE~ 1012918? TIME: <br /> <br />Other .... <br />i have read end agree te th~ terms stated ~ the reverse side <br /> <br />9:31:22a <br /> <br />LOT: <br /> ? <br />'WIDTH: <br /> <br />TYPE= 0N-SITE ~Et4AGE <br /> <br />PERt4IT OR APPLICATION NO: <br />CE}NTRACTO~. NO. <br />~ET, R:Q~ ERT <br />2325? ~ITIAM ~4AY SE <br />LYONS 9?358 <br />PHONE: ~5g-2547 <br /> <br /> 7636 EVIE LANE <br />AUMS~VILLE OR 97325 ~RI~ ~ N~ <br /> <br /> SINGLE F~[LY ~LLI~ .............................................................................. <br /> <br />23257 ~TI~ ~Y SE ~ .......................................................... <br />LY~ 9?358 <br /> <br /> VA~AT <br /> <br /> 9lATER E~JPi:>LY <br /> TE~T HOLES READY= <br />51S8 SITE EVALUATION NUMBER: 8-75-27 <br /> ~D(TST;[NG <br /> EXI'ST,[NG DRAIN FIELD LINE~: <br /> SEPT ]:C TANK <br /> PREV~'OUS NO. E~EDROOIv~: <br /> <br /> iTE~ <br />STANDARD ON'-$ZTE ~Y~TE~ <br /> <br />PAYEE= <br />RECEIVED <br /> <br />$125.00 <br /> <br /> 325.00 <br /> 125,00 <br /> $0,00 <br /> <br /> $o. oo <br /> <br />SEE ATTACHED 0CX:XJHENT FOE J;E~UzR~'4 ....... ' "~E~, - .... ~ <br /> THIS ~[T.~. ~ ..... £O~, <br /> <br />REMARKS: STANOARD 5'W~T~ R~3933 ,1," <br />DONALD E. HOODLEY, Iv'd~l~ION CX~t,~l~ BUIL~]~NG .OFFICi'AL ./'i~y <br /> <br />ro~, ~¢ ~,.~,~ .ev.~t=? OFFICE COPY <br /> <br /> <br />