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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLDG, NO, 325 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />PHONE: 588.5147 8:00 · 4:30 <br />HOUR CODE-A-PHONE: 588~7904 - <br /> <br />Other , <br /> <br /> 7771 FERRANCE LN <br /> AUt4SVi LLE OR 97325 <br />i'us~ b'~ EuE6iNS- ................................................................ <br /> <br />....................OCCUPANCY RE~S- i4)E+I } <br /> <br />SANE <br />PHONS.: 749-2668 Si1E NUIVlSER= 13753 <br /> <br />FYPE: ON-SITE SEWAGE <br /> <br />PEF~II OR APPLI(,AT'iL~I NO: <br /> <br />gON J RACIOR, NO. <br />SAH~- <br /> <br />PHONg: ?49-2666 <br /> <br />WATER SUPPLY: <br />TE~T HOLEE, READY: <br />SITE EVALUATZON NUIV~ER: <br />EXISTING T~K <br />~ISTiNG D~IN FIELD <br /> <br />PR~I~ NO. 8ED~: <br /> <br />REPAIR - MAJOR <br /> <br /> PAYEE: <br /> RECEIVEO BY: OM <br /> <br /> $~ A'~TA(,)HEO [X~MENT <br /> <br />~ THIS IS A VALID PF_J~IiT <br />CONSTRUCTION FAIL~ TO~ <br />Z~1~ ~/N~, THIS <br /> <br />[:~RECP_i P f NC: CHECK <br /> <br /> iTS ISE~E OAT,IF. iF <br />NARiON COUNTY 8UILOIN~ AND <br /> <br />RF_~CARK,5~ NAJOR REPAIR RAt6731 <br /> <br />~ALO E. ~O(.]OLF-~, ~RiF-W CEXJNIY BUILDING OFFICIAL / BY <br /> <br /> <br />