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MARION CO'UNTY'BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588~7904 <br /> <br />The wod( will be performed by ~1 ?C{hstered bwdder <br /> <br />NAR.tON COUNrY NO <br /> <br />AUROP,.A, OR' 9'/U02 <br />Pf~ONk: f~'?8-1 'Z U4 <br /> <br />LOT <br /> <br />SECTION <br /> <br />TYPE: ON--~IT'~' SEW~E,' <br /> <br />PkRIVllI OR AF:'PLICA'rION NO: <br /> <br />CONI RACTOR, NO. <br />OP.~TA, JIM <br /> <br />AURORA, OR 97002 <br /> <br />17 <br /> <br /> S~TE NUIvIBER: 11638 <br /> VALUATION: <br /> <br />4S 1W <br />AC YP_JS NO <br /> <br />4 <br /> <br />9028518 <br /> <br />~ATE~ E~.JPPLY: <br />TE~T HOLP.,~ READy: Y~ <br />~ITE EYAbUAIION NUFi~ER~ <br />E~iSTING 'TANK <br />EXISTING DRAIN FieLD LIN~5: <br />~EPTIC l~K PUMPED: <br />PRSV~8 NO. 8gD~: <br /> <br />'-.~.~IE EVALUA]iON, FI~! LO~ 1 $175.00 <br /> <br /> TOTAL ~O FE~ $175.U0 <br /> PR~VI~ R~C~i Pg'S $0.00 <br /> THIS R~CEIPT $175, OO <br /> <br /> 8A~CE ~g $0. O0 <br /> <br />PAY~: O~fA,, Ji~ Rk~EIPT NO: 301~2 <br /> <br />~E ~l~EO ~U~l FOR ~[~1~ OF ~-~ITE ~E~E ~Y~l'~. <br /> <br />MOLE: THIS IX)ES No.r ,GRANT OR iMPLY PI~Ii~iION TO BUILD ~ THi~ PANEL. P~NiNG ~O <br /> <br />OFFICE COPY <br /> <br /> <br />