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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NC <br /> SALEM, OREGON 97;301 <br /> <br /> PHONE: $88-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />property own or occupy- <br /> <br />DATE: ....................................... <br /> <br /> ~2152 FRY RD NE <br /> ~URORA ~ ' <br /> <br /> ( summvismoN: L~ <br /> <br /> PO ~OX 412 <br /> AURORA, OR 970~2 ~ITE NUH~R~ <br /> PHONE: ~78-587~ : TALUAT~ON: <br /> <br /> TYPE.- ON~S[TE SEaRlE I ~ATE~ SUPPLY: P~ <br /> , TEST HOLE~ <br /> <br /> CONTRACTOR, NO. <br /> HOWARD~ J~RN & JEAN I EXISTING QRAIN FIEL~ LINES: <br /> AJRORA~ OR 97882 <br /> PHOI,flE: 678-587B <br /> <br /> ]:lEH <br /> AUI't"IORIZAT~ON NOTICE - FL~.' VISIT QUANTITY A~OUNT <br /> <br /> " TOTAC A~ESSED FEES <br /> ': .PEEVIO~S RECEIPTS Sl6~. <br /> <br /> RECEIVE~ ~¢y: pN · RECEIPT <br /> SEE ATTACHED DOCUMENT FO~ 'REQUIREMENTS OF .ON-SITE SEWAGE 9YSTEM. <br /> ~ THIS IS ~OT A PERMIT. T~I8 'APPLIC~T~ MUST' ~ <br />ALL NECF'SSARy ~NFOR~ATION HAS BEEN <br /> ' - , THAT <br /> <br />PI,,AN REVZEW~ B~ ~'"' <br />R~:HARI~,'S: AUTN W/¥ZSIT <br /> <br />CiTY JUR'IS~ICTION: ~y DATE <br /> <br /> <br />