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MARION COUNTY BUILDING INSPECTION
<br /> SENATOR BLIDG, NO. 225
<br /> 220 HIGH STREET NE
<br /> 8¢~LEM, OREGON 97301
<br />
<br /> PHONE Ei8~-$147
<br /> CODE.A. PHONE 4:30 P,M.- 8:00 A.M,
<br />
<br />I em a ~ ~ ~ ( ) tf~e ~ re~'eserc,~e 8~GNATUI~ OF n~'~,uc, N,~ _t , .
<br /> [,¢DOD, NAY'NE L
<br />
<br />~'Yf,,'"~: ON--SITE. GENAGE
<br />
<br />PE~N.~T CF4 APPLZCAT~!
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<br />~E: ?49-2236
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<br />OR 97325
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<br />MARION COUNTY NO
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<br />STONEFIELD GLEN
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<br /> CfTE NU,.~BER; ?828
<br /> VALUATION:
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<br />5.3g000 AC YES NO
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<br /> I NATER SUPPLY: PN
<br /> ~ TEST HOLE~ READY,-
<br />9018795 i $i?E ~ALUATION NUI~3E~: 17423
<br /> ~,ST,NG T~K SIZE:
<br /> ........... .,,: ,, ,~..ST[,NG., D~,~,b, F~E_~
<br /> SEPTIC T~K
<br /> , I P~;~S NO. BEDR~:
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<br />PAY-E.
<br /> · ,...-.-,,,, WAYNE ~- ,;, ,~;_~ ........ ,,,,:,,,,,....
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<br />S~E ATT, AOHED DOCUMENT FOR :~,..l~,.'~':i
<br />
<br />FOLLOW,lNG MU,ST BE
<br />ALL NECE.~e~EY INFO~IATION
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<br /> ,,t
<br />' ~A~E...:~.,....;. ,.,,, ... %, ~
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<br />,,:,~;',;]",.!,"~:'..:.,'.',¢,, ,,: ......... ...:.? RECEIPT NO; ? ~935
<br />t',~,','!,'~'::';:;:.'"~','"~.~]¥'fi'~,,l~ ',CHECK ~: ?93
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<br />)~D:- ........ .,., ..: ........ .... ,.,; ....
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<br />~,.~,~ .,~..~, OFFICE COPY
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