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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 8:00 - 4:30 <br />24, HOUR CODE-A. PHONE. 585.7904 <br /> <br />TAX gOT <br /> <br />56363-000 <br /> <br /> 8420 HOL,~](,~UISF RD <br /> AUD,lbV i L L,E <br /> <br />USE OF BUILDING <br /> <br />~RiON ~N'rY NO <br /> <br />9748 BATE~5 RD SE <br />AUI'C~VILLE, OR 9?325 <br />PHONE~ 585-1782 <br /> <br /> TOWN~HIP <br /> <br />1. '/7 <br /> <br />~4i]E NUIV~I~R: <br /> VALUA T i ON; <br /> <br /> YE.~ <br /> <br /> 11405 <br />ZONE <br /> AR <br /> NO <br /> <br />IYPE= ON-SiI~ ~EWAGE <br /> <br />U~IRAOrOR, NO. <br />NICBOL, GLE~ E- <br />gY4$ BATES R~ S~ <br />AUMSVILLE, OR 97325 <br />PHONE: 585-17~2 <br /> <br />Tt~ST HOLES READY: REAOY <br />~ITE g-'VAUJATION NLJIV~ER= <br />E"XiSTING TANK ~[ZE: <br />EX~IN~ Df,lAIN ~IELD LINES: <br /> <br />D,qF_VIOU~ NO. BED~: <br /> <br />Si)g EVALUATION, PiRS I' LO~ <br /> <br />PAYEE= <br /> <br />TOTAL ~b-'~rSEO ~{ES <br /> <br />~AL.ANCE IDUE <br /> <br /> (,~JANYiIY <br /> <br /> $o.0o <br /> <br />R~EIPT NO: <br /> <br /> I'YPE: CHECK ~: 0 <br /> <br />5~ A"I"¥'ACHEu L~.)C:U~B~T FOR R~(.L.L.L.L.L.L.L.L. LXJIRED~,IENFS OF 0N*$i'Tg ~ENAGE SYSI~. <br /> <br />NorE~ THiS ~ NOT ~T OR It~t_Y PE..R~I,~.~iI~)'~t TO BUILD ON THIS PANY~EN, PLANNING AND <br />CONSTRUCTION PERNiTS Must 8E OBTAINED BEFORE BUILDING OR SEPTic INSY'ALLA?ION BEGINS. <br /> <br />~[-0 ~, [~OOOLEY, NIARION C7,iJN'Y'Y ~UiLDiNG OFFiCiAL <br /> <br /> OFPICE COPY <br />FOR/~ # ~c 15~55 REV 4/90 <br /> <br /> <br />