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,.~,.~u~,~ ~ t~UILU[NL~ INSPECTION <br /> SENATOR BLDG NO,, 225 <br /> 2:>0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 58B-5t 47 8:00 - 4:$0 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> 14603 OT'TANAY RD <br />ALJ RORA <br /> <br />OR 97002 <br /> <br />NE <br /> <br />¢.0 NTR~CT CITY <br /> <br />P~M'~4J.~ OR APPL~CAf,[r-)N NO: <br />C(JN r P.~ l o~, NO, <br /> <br />ALIERAI ION <br /> <br />SII"~ NUtC~ER~ 14157 <br />VALUATICN; <br /> <br /> INR~ LOT CORNER <br /> SF NO NO <br /> <br />TD..~T HOLES READY: <br />SiTE ~VALUATIJO~ NUtCB~R~ <br />~D<IST1NG ~ANK $~ZE~ <br />EX[~TIN~ DRAIN FIELD LINer <br />SEPTIC T~K ~P~D: <br />PR~S NO. BEO~: <br /> <br /> TOTAL ~E~EO FEE~ $150.0o <br /> PR~ViOUS R~CEIPT$ $0.00 <br /> THIS R~CE1PT $150.00 <br /> <br /> BALANCE DUE $0_00 <br /> <br />~ THI~ 13 NOT A P~IT. THIS ~I~TI~ ~T ~ TH~ A ~I~ P~ ~ERE THE <br />~I~ST 8E~. IT IS THE ~iBILITY~ ~E~I~T TO~ ~AT <br />ALL N~ IN~Ti~ <br /> <br />PLAN Rh¥IEN: BY ~E OAFE_.~7 ~,_~:,..~ CiTY JURISOICTION: BY............ <br />REtv[ARK~: N~LOCAflN~ ORAINF~ELD lO IHE~R PROPERTY, EXiSTiNG FIELD THER <br /> <br />DA I~ E <br /> <br />~. uc l s-~ .~ ,,,~ OFFICE COPY <br /> <br /> <br />