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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 588-5147 <br />CODE-A-PHONE 4;30 P,M, - B;OO A.M. <br /> <br />· ,PACIFIC ,TELECO~ INC ............................. <br /> <br /> ................... : uGG; <br /> 13901 EHLEN RD NE i = <br /> <br /> OR 97002 ~ ......... <br />.............................................. .~i~'I~N"'COONTY ....... ~'-- NO- .............. <br /> <br />'OCCUP^NC¥: <br /> <br />'OCCUPANT LOAD: <br /> <br />RICHARD JCHN~ <br /> <br />............... ! sdebi~l§10Ni ' <br /> <br /> ............ <br />SECTION: <br /> <br />SITE NU~EE~ 9144 <br />"~ ,YA~,~A'~'ta~l'''-' ' <br /> <br />.160. .: ......... 69.120. ,."v.:,' ........ SF. ....~: .... ~) ,.:,; ...... .,,,NO-,,,,,,,,,,,: <br /> <br />TYPE: ON-SITE SENAGE <br /> <br />PERNIT OR APPL)CATION NO: <br /> <br />CONTPJ~CTOR, NO. <br />PACIFIC TELECON INC <br />SANE <br />I~I CHARD J CHN:~3N <br />RHONE: 678m~ 14 <br /> <br />gO210g$ <br /> <br />NATER ~JPPLY: F~ <br />TE~T HOLES READY: <br />~ITE EVALUATICN NUI~ER: <br />~ISTING T~K SIZE: <br /> <br />SEPT~ ,T~K ~PED= <br />PR~I~S NO, 8~= <br /> <br /> ITEN qUANTITY A~0UNT <br />ALTERATIONS I $145.00 <br /> <br /> TOTAL-'A-e'S~ED 'I~EE~B $14 S. 00 <br />· . PREV.IOL~'- RECEIPTS <br /> $oo0 <br /> <br /> 8A~CE ~E $0.00 <br /> <br />PAYEE: LEROY YODER CCN.~T '"" RECE:[PT NO: <br />RECEIVED BY: ,, ,TYPE." -OK CHECK ~= 455 <br /> <br />R~R~: T~K REP~T ~04~5 <br /> <br /> CITY JURISDICTICN; BY .......~ <br /> <br />f <br /> <br />OATE ..... <br /> <br />OFFICE COPY <br /> <br /> <br />