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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: S88~147 8:00 - 4:30 <br />24- HOUR CODE-A-PHONE: 585~7904 <br /> <br />have rea. ct and a~ree tothe re?ms stated on }he reverse side ot <br /> <br />CONTRAC'TO~. <br />HOW~RD~ JO~N & JEAN <br />PO ~OX 412 <br />AUROR~ O~ 97~2 <br />PHONE~ b78-587~ <br /> <br />WATER SUPPLY: PW. <br />TEST HOLES READY, <br />SITE EVALUATION NUNBER; <br />EXISTING TANK SIZE: <br />EXISTING D~AIN FIELD <br />SEPTIC TANK PUNPE~.; 3 i0-93 <br />P~EVIOUS NO, BEDROOH$: 3 <br /> <br /> ITEM QUANTITY AMOUNT <br /> AUTHORIZATION NOTICE - FL~. VISIT i $150.~0 <br /> TOTAL A~F~ES~E~ FEKS <br /> PREViOUS'RECEIPTs $160.~B <br /> <br /> PAYEE~ ': :. '' RECE~F'T NO: <br /> RECEIVED BY: PB ............... ~ ........ TYPE: CHECK t: <br /> SEE ATTACHED DOCUMENT FOR',REQUIRE~ENT$ OP ON-SI~E SEWAGE SYSTEM. <br /> <br />~ONSTRUCTZON FALL9 TO HEET ALL REqUIREmENTS OF STATE LAW8 AN~ ~ARION COUNTY BUILDING AND <br />ZONING ORDZNAN6ES~ THIS PEEE~T SHALL BEBOHE.HULL, AN~ <br /> <br />REHARKS: AUTH W/VISIT <br /> <br />DONALD E,, WOODLEY~ MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />~ ~ uc ~-~.ev ~ OFFICE COPY <br /> <br /> <br />