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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH sTREET NE <br /> SALEM, OREGON 97301 <br /> <br />OATE: 07/14/~8 TIME: <br /> <br /> PHONE 588-5147 <br />CODE.A-PHONE 4;30 P,M, · ~_'OO A.M_ <br /> <br />5 ~ 57 ~E DR <br /> <br /> SITE NUMBER: 4850 <br /> VALUATION: <br /> <br />............... 2, g5000 ~ u,~s~: .~ ,~ <br /> <br /> ~TER ~PPLY~ ~ <br /> T~T HOL~ R~DY: <br /> ~[TE ~A~AT[~ NU~EE: <br /> ~[ST[NG T~K S~ZE~ 1000 <br /> ~[~TZNG D~[N FZELD L~N~; <br /> ~C T~K ~PED= 5/13/87 <br /> P~EVJ~S NO. 8E~; <br /> <br />PERMIT OR APPLICATION NOt' <br /> <br />4~0 <br /> <br />CONTRACTOR, NO. <br />G~-i.Nvi, NARKL ~ LINDA <br /> <br />362-7113 <br /> <br /> ITEM C~JANT! F NVl0UNT <br />EXISTING SY~TI~M EVAL. APT. $100.00 <br /> <br /> TOTAL ~ED FE~ $100.00 <br /> ~ZG R~IPT $10o. OD <br /> $A~CE ~E~ $0.00 <br /> <br />F~ING ~ST BE ~D. '~T ~S ~E ~IaILI~ ~;~E ~PLi~T TO ~ ~T <br />ALL N~ ZN~TI~ ~ eE~ P~ZD~. ~' ,-- <br /> <br />P~ R~I~: 8Y~ DATE ........ CI~ ~'URISDI~I~: GY DATE <br /> <br />~R~: SEPTIC ~AL FOR ~ <br /> <br />RESiDENT[AL <br /> <br /> <br />