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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG NO. 225 <br /> 220 HIGH STREET NE <br /> · SALEM. OREGON 97301 <br /> <br /> PHONE 5~8.-5147 <br />CODE-A-PHONE 4:30 P.M. - 8~'00 A.M. <br /> <br />RF,..S I DENT <br /> <br /> 5932 ¥ILL./~E ¥IE!~ COJF~I' <br /> <br />PO SOX 1457 <br />CEDAR CITY, UTAH 94?20 <br />I~ONE: 801-5S6~$081 <br /> <br />MARION COUNTY NO <br /> <br /> 2 <br /> <br />VILLAGE VIEW <br /> <br />SITE NUMBER'+ 9985 <br />VALUAT ION: <br /> <br />~RRECl ,J~r~ <br /> NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PEF~tIT OR APPLICATION NO: <br /> <br />COgTRACTOR, NO, <br />DAHL, <br />PO 80>( 1451 <br />CEDAR C[TYo UTAH 94?20 <br />FHONE: 801-586-8081 <br /> <br />,~I./THORIZATION NOTICE- FLD.,."'~ ' <br /> <br />PAYEE: D/~L, R0~ERT <br />RECEIVED BY: <br /> <br />SEE ATTAC~,IED DOCLJME~T <br /> <br />PLAN R~VIEW~· BY ................ <br /> <br />RFJ~Rt(5: AUTH FIELD CHECK <br /> <br /> ~ATER ~LJJ~Y~ ~ <br /> TEST HOLES READY~ <br />g023512 ~ITE EVALUATION NUMBER: <br /> EXISTIN(B T~K S~ZE: 1000 <br /> ~I~ING D~[N FIELD LIN~: 450 <br /> <br /> THI~ RECEIPT <br />':?"?; '" % BALANCE DUE <br /> <br />RECEIPT NO: <br /> CHECK ~; <br /> <br />CATE <br /> <br /> F~300 <br /> <br /> $105.00 <br /> $0.00 <br /> $~05,o0 <br /> <br /> $0,00 <br /> <br />2~g32 <br /> 0 <br /> <br />'A, EEVI~ PROCESS ~IE~ THE <br />Tile /L~I~ TO ~ ll~AT <br /> <br />CITY JURI$0ICTION: BY .............. DATE <br /> <br />OFFICE COPY <br /> <br /> <br />