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MARION COUNTY BUILDING INSPECTION <br />Si:NATOR ELDG, NO_ 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 688-5147 8:00 - 4:30 <br />Other ......... <br /> <br />SITUS AOORES~I~, H~RD ................. <br />12403 FRY RD NE , ................ ~ ' <br /> <br />WATER SUPPLY.* <br />TE~T HOL~ REAOY.- <br />$1TE IEVALUATi~N NUMEEF~= <br />EXISTING T/~NK SZZE. <br />ED<I~T[NG DRAIN Ft~LO LZNES: <br />SEPT'lC TANK PUMP~: <br />PREVZ OL,~ NO+ <br /> <br />REPAIR - IVlAJOR <br /> <br />TO~AL-~EE~ED FEIgS.. <br />· I:~REMICIJ~' 'RECE! PT~ <br />THt~, RE~Er PT <br /> <br />([X,/AN T 1 TY <br /> 1 <br /> <br />Sso,oo <br />$8o, oo <br />$o.oo <br />$~o. oo <br /> <br /> ~ALANCE OUE $0.oo <br /> PAYEE: LE~;[~, HOIA~RO ,',' :'.-'.. ~ RE:CE/PT NO: <br /> ~EIVED BY. CL ~ · . . .~ ~. ~.. TYPE: CA ~ECK ~: 5986 <br /> <br />R~R~: D~INFiELD REPAIR ~5095 D~INFIELD <br /> <br />OFFICE COPY <br /> <br /> <br />