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MARION COUNTY BUILDING INSPECTION <br /> <br /> 2~0 HIGH STREET NE <br /> S/~EM, OREGON 9~t01 <br /> <br /> PHONE 588-5t47 <br />CODE-A-I~IONE 41~ RM - 8.{X) A M_ <br /> <br />~YTHI~,N BUtLD~N~ <br /> <br />NO <br /> <br />NJ~OP.~ <br /> <br />OR 97002 <br /> <br />~...~Ei:~C [ A <br /> <br />PHONE. <br /> <br />SITE NDIYBER: <br />n~G~ALUAT[QN: zo~ <br /> <br />6825 <br /> <br />18 <br /> <br />AC NO NO <br /> <br />PEI:~IIT OR APPLICATION <br /> <br />CONTRACTOR, NO. <br />PYTHIAN <br /> <br />9015592 <br /> <br />NATER SUPPLY; C~ <br />TE~T HOL~ READY: <br />SITE EVALUATION NUIvI~ER <br />EXISTING T~tNK SIZE: <br />EXISTING DRAIN F~ELD LINE~: <br />SEPTIC TANK PUIV~ED: <br />PREVIOUS NO~ GEI~: <br /> <br />STO CN~ITE SY$ < 1000 ~AL <br /> <br /> TOTAL <br /> PREVI(X~ RECEIPTS <br /> <br />PAYEE: PYTHIAN 8UILOING <br /> <br />(~.NqT Z TY N',~OJNT <br /> <br />INVOICE NO: <br /> <br /> $455.00 <br /> $o.oc <br /> <br />16563 <br /> <br />RECEIVED GrY: CL TYPE-, IN C~ECK ~r: 0 <br />SEE ATTACHED D(X::UMB~T FOR RF..qUIR~VlENT~ OF ~ITE ~E ~. <br /> <br />CITY JURI~,DIOTION = BY Da, TE <br /> <br /> <br />