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MARION COUNTY SUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br /> P20 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> CODE-A-PHONE 4.30 P,M. - 8.00 A.M, / I fi <br /> <br />HAHPT(~N, L.NJRENC~ S & JACQuAL[N $ <br /> <br /> 10984 JAF4~ WAY <br />AU~SVILLE <br /> <br />OR 97925 <br /> <br />b~ATER ~UPPLY -. <br />TE~T HOL~ READY= <br />SITE ~ATI~ ~: ~ELLIA H~ <br />~l~I~ T~K SIZE, <br />~I$TING ~IN FIELD LIN~ <br /> <br />;~RMIT ~ APPLICATICN NO: 9011498 <br /> <br />HAMPTON, I.,AU~E S & <br />SAME <br /> <br />PHONE,* N/P <br /> <br />~TANOARD ON-~ITE EYSTEI4 <br /> <br />THIS RECEIPT ~ <br /> <br />$18s.00 <br />60 <br />$165,00 <br /> <br /> $0.00 <br /> <br /> REVIEW= BY __~__ <br />RS~IAR~= NEW SEPTIC <br /> <br />THIS IS NOT A <br /> <br /> DATE ~ITY .J(JRI~ICTiON = 8Y DATE <br /> <br />~o.~. uc. ,s-~,s .~v ~v~7 OFFICE COPY <br /> <br /> <br />