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MARION COUNTY BUIL~ING INSPECTION <br />SENATOR BLDG. NO. 225 <br />'~20 HIGH~'~TREET NE <br /> SALEM, OREGON 97301 <br /> <br />PHONE 558'5147 , <br />CODE-A-PHONE 4:30 P.M. - 8:00 A,M, <br /> <br />9011851 <br /> <br /> ITEN <br />AUTHORIZATI~ NOTICE - FLD. VISIT <br /> <br />SEE ATTACHED <br /> <br />* THIS IS NOr' A <br />FOLLOWING ~ BE COr4PL <br />AiL N~ INFO~TIQ~ <br /> <br />TE~T HOLE~ READY:, <br />SITE EVAUJATIO~ NUNB~: <br />EX'rSTIN~ TANK $IZE:~ ': <br />EXISTING ORAiN FIELD LINE~ <br />SEPTIC TANK Pt~t~D= 11/9/e4 .... <br />PREVI(IiS NO.,, I~-'DROQvI~ 4 · :: <br /> <br />· ,T $105.oo <br /> <br /> $105.00 <br /> $0.oo <br /> $105.o0 <br /> <br /> $o.oo <br /> <br /> 125~5 <br /> <br />BY DATE~ <br /> <br />~, ~c ~,,~e REv US'~ OFFIOE C0PY <br /> <br /> <br />