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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HtGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE '588-51'47 <br />CODE-A-PHONE 4:;30 P.M. - 8:00 A.M. <br /> <br />B~ZE, K~N~ & JUD~ <br /> <br /> 10207 MATTHIEU LANE NE <br />AUr~4 OR 97002 <br /> <br />4028?-000 <br /> <br />~0235 MATTH[EU L..~NE NE <br />AURORA, 97002 <br />~C~E~ $79-5218 <br /> <br />PERMIT OR APPLICATION NO: 822? <br /> <br />CONTRACTOR, NO. <br />~OOZE, KF.~N~?FH ~ JUDITH <br /> ,0~28 ,'~ATTHIEU LANE NE <br />~, 97002 <br />~E: 678-S2~8 <br /> <br />NATER~$JPPLY~ PIN <br />TEST HOLE.~ ~F. ADY: <br />SITE ~*VALUAT[ON NUFIBER: <br />EXISTIN~ T~K SIZE: <br />EXISTING DRAIN FIEL0 LINE~: <br />SEPTIC TANK ~:~U~PED: NO/GAVE PUMPER <br />PREVICU~ NO. BEOROCe~= <br /> <br /> (:~JANTI TY <br /> AuTHORIZATION NOTICE- ~LD. VIE,.rT 1 $105,00 <br /> <br /> ~i05 <br /> ~l~ ~EIPT $0.00 <br /> <br /> ' ~ ~E $0. O0 <br /> R~EIPT <br /> <br />~EE A~EO ~T FOR <br /> <br />REMARKS: AUTH. REP.RES. ~9B18 <br /> <br />:X:DNALD E. k,~XDOLEY, ~ION C~JNTY ~JILDINI3 OFFICIAL / BY <br /> <br /> <br />