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MARION COUNTY <br /> BUILDING INSPECTION <br />Senator I~uilctin~ · ~20 H{$h ~Ire~t N~! ~ Second Flout · $~lezli, <br /> <br />DATE; 04/04/8g TIME; <br /> <br />/ <br />11457 RC~LELLAN Re <br />AUMSVILLE OR <br /> ,, ~ <br /> <br />97325 <br /> <br />MARION COUNTY <br /> <br />NO <br /> <br /> NIghT ~TAYTON LOT~ <br /> <br />$~TE NUt~ER~ <br /> VALUATION: <br /> <br />~,.~I DENT I AL <br /> <br />3 <br /> <br />PEI~IIT OR APPLICATION NO: (~01a$~) <br />CONTRACTOR, NO. <br />NOOL~EY, DUANE <br /> <br />PHONE: 749-1573 <br /> <br />~AE~ER.~JPPLY: <br /> T HOL~ READY: <br />SITE EVALUATION NUM~R~ <br />EXISTING TANK SIZE: 750 <br />~lSTIN~ D~IN FIE~D <br />PTIC T~K~NPED, <br />PR~I~S NO, BED~: <br /> <br /> TOTAL AE, SE~ED FEE~ A~'~- ~60,00 <br /> PR~I~S R~EI PTS <br /> <br />PAYEE: ~, ~E ~CEI~T NO~ <br />RECEIVED BY: <br /> <br />5EL ATTA~ED ~M~T ~R R~iR~TS OF ~-SITE S~E SYST~, <br />* ~[S IS NOT A PE~IT, <br />~Z~ ~T 8E ~. <br />ALL N~ IN~TI~ ~ a~ P~I~D. <br /> <br />PLm,N REVIEW: BY__ _~__._ DATE___OZ~[:~.~;~ CITY JURISDICTION: 8Y ..... DAT~ ....... <br />REMARK,S: AUTH - NO FIELD VISIT ~ '1~."~7~'~ <br /> <br /> <br />