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MARION COUNTY BUILDING INSP. EOTIQN <br />SENATOR BLDG. NO. 225 <br /> P20 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE_ 588-$147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> Ii E×':[S'TiN~ TAN)< STZE: <br />OWN~n COHTRACFOR, N0_ ' ~T]NG DRAIN FIELD [,i~E~: CATEGORY <br /> NITltNCER,~NCAL I SEPTIC ~ANK PUMPEO: <br /> 4&87 PA~D,:E ~v~ I PREVIOUS NO. BEDROOMS: <br /> <br /> PHONE: 591,5170 <br /> <br /> QUANT!TV <br />USE o~ ~[o~GFVAI UAT~ON. F f~sr t OT 1 <br /> <br /> PR~P~REOE [PTS <br /> <br />AtIOUN!' <br /> <br />WIOTH <br /> <br /> ~...,~Cj~t) <br />  ~ B~LANCE DU6 <br /> <br />PAYb{ : INVOICE <br />HCC~ I VEDaBY: CL ____.... TYPE: CHECK <br /> <br />SEE AITRCHFF) OOCUHEN1 ~'OP REQUIREMENTS OF ON-~[TE SEWAG~ SYSTEM. <br /> <br />NO?F; IltlS 00~$ NOT GK~ANT OR IMPLY PERHISS~ON TO BUILD ON THIS PARCEL. CLAMMING PHI) <br />ONSIRUCTION F'FRHIfS MUST BE OBTAINED 8~ORE BUILDING OR ~PTIC INSTALLATION BEGINS, <br /> .... , _ <br /> <br /> , MC I~.b6 ReV 4~ OFFICE COP'/ <br />/ <br /> <br /> <br />