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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 ~88-$147 <br />CODE-A-PHONE 4.30 P_M. - 8:00 A.M. <br /> <br /> PHONE: <br /> <br />"Wt0YMr 1 2 · <br /> <br />?69-7269 ~ SITE NU~ER = 2741 <br /> <br />TYPE: ON-SITE Ex~HAGE <br /> <br />PER~,IT OR APPLICATION NO: 5339 <br /> <br />CONTRACTOR, NO. 33006 <br />LINDENANNCONST <br />PO BOX 869 <br />NEHAMA OR 97384 <br />PHONE: 859-3117 <br /> <br />STANDARD ON-SITE SYSTEM , "., ,, .:" 7-'" ~'.;:,, i $125.00 <br /> <br /> .... : ..... ..~..'}'~TAL; .:~O FEES $125,00 <br /> , ':," '" .: :.':-'.'{:~REt,;/~6.. ~ IPTS $ ~ 25.00 <br /> · ' '.~K :~ ,, ,,,d'"..,"::.,g:~:' ~I'PT ' $0. O0 <br /> <br /> · '" "' .:';~A~CE-~8 ,, ·" '" $0.00 <br /> <br />PAYEE; ', ,' , ' ...,~ ,'f, ~ECEZPT NO: <br />RECEIVED BY: pb ~ : ';':",IL' ....... ~L. ~:"'~ ,,r:".~K ~: <br />5~E ATTenD ~M~T FOR ;,~'I~ ~?~'~ :,$~T~. <br /> <br />~ALD E. ~OLEY, ~RI~ ~N~ 8UILDI~G"~I~ / BY '~ ..... <br /> <br />OFFICE COPY <br /> <br /> <br />