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MARION COUNTY BUILDING INSPECTION <br />~i~NATOR 81.DG, NO. 225 <br />~ HIGH ~'FREE'I' NE <br /> SALEM, OREGON ~ <br /> <br /> I:~tONE r:~8~5147 <br />CODE-A-PHONE 4~0 P.M, - s.o0 A.M. <br /> <br />04/08/80 <br /> <br />TINE: 10=37=58 <br /> <br />OR 9?002 <br /> <br />NE <br /> <br /> c~ ~8-000 "- b~u~RE~II~NTIAL <br /> <br />AURORA NO ' ~ ~o~M~ <br /> <br />24?55 31~ 657H <br />TUALATIN, OR <br />PHONE= $~8-14~4 <br /> <br />SITE NU/~ER: .... 548'1 ....... <br /> <br />2. 38000011 AC NO <br /> <br />TYF~: ON-SITE SIENa, GE <br /> <br />~IT OR API~_ICATiCN NO: <br /> <br />CONTRACTOR,. NO, 35815 <br />CANBY EXCAVATING <br /> 122 NE 4TH <br />CANBY, 0~ 97D02 <br />PH(~E; 268'--2792 <br /> <br /> ZTS~ <br />~TAND,,N~ ON-SITE EIY~TI~ <br /> <br /> I NATER ,SUPPLY= C! <br /> TEST HOLES READY: <br />9023059 i SITE EVALUATI~,J ~F_..R= 11130 <br /> EXlrST:[NO T~NK' SIZE- <br /> jEXISTING DRAIN F!r~O L, XNE~: <br /> :SEPTIC TANK I:~MI:}ED: · : <br /> PREVIOUS NO. 8~. i" <br /> <br />(~JANTiTY A~NT <br /> I $155.00 <br /> <br /> $165.00 <br /> $o.0o <br /> $165.00 <br /> $0.00 <br /> <br />CITY JURIEaDICTION= BY._ .... . . 0ATE .~ <br /> <br />OFFICE COPY <br /> <br /> <br />