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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG_ NO. 2:25 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 P.M. · 8:00 A.M. <br /> <br />d,~E~VI LLE OR g?$25 ~ <br />~ o~ .~,~,'"~, ' ........................... M~JRZON COUNTY NO <br /> <br /> SITE NLe4BER: 5826 <br /> VALDAT,!~...~ <br /> <br /> .:oepT, ....... i~, _. 24 . ~ ' ~ . ,~,~*L~ ~ .... ~,,~, _~ 51 <br /> <br /> , ~ 2.00000 ~ , ~ ~ <br />' - T-':::-:':~ "~,,v:'-L ~:'~ ......... ~ .....' ........ """ ~' ............. " ~ "" " <br /> <br />12038 <br /> <br />SITE EVALUATION <br />EXISTING TANK ,SIZE. <br />E>()[~'TIN~ DRAIN FIELD <br />~l'IC TANK <br />pla=-VIOUS NO. <br /> <br />~NUAL EVAL. - TE]~J~ ~ HOSHP ~ <br /> <br />TOTAL A.$~EE, SED FEE~ <br />THI~ RECEIPT <br /> <br />eALA~CE aJE <br /> <br />[60- O0 <br />60,00 <br /> $0. O0 <br /> $0.00 <br /> <br />~B~: t~ HARDSHIP AU~ 1~650 /~A <br />:XDNALD E. HOOOI.EY, ~ARI~N COUNTY BUll. DING OFFICIAl. / BY~ <br /> <br />,er 0~ OFFIGE COPY <br /> <br /> <br />