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MARION COUNTY BUILDING INSPECTION <br />SENATOR EILDG. NC). 225 <br />220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-~;147 8:00- 4;30 <br />;84, HOUR GODE-A-PHONE: 588-7904 <br /> <br /> ~ave read ~;~ ,~9¢ee to the terms sta~ed on ~e ¢eve~e ~ide ~[ ~TE: ............................................ <br /> <br /> DATE:: ¢¢4/Br>/9C~ ....... T-t~:--t"~:'2~ ................. ~'~A~'~O~ ............................... ~"~d~+t ............ <br /> <br /> ,'~ ....... ~ .,,:LCX~sRS ~,~::. ~...~a~.~ ........................ <br /> ~ .......................... ~-~O~'~t ~6~5; .... ' <br /> <br />...... ":;;7'" - ...................................................... ~'0'¢~3b~; .......................... <br /> <br />EX~$TING TANK <br />EX]'~TING 9RAIN FI£LQ LINES: <br />8EF:TI~ YANK PUMPE~: <br />~EVIOUS NO. BEdrOOMS: <br /> <br /> i TEl4 QLIANT ~"f Y Ai%IUNT <br /> <br />CON~;'FRL~CT~;ON FAI~S TO MEET ALL ~DUIRE~ENT~ ~ STATE LA~S AND MARION COUNTY BUILDIN(; <br />;~ONIN5 (IRD'.[NANCES,, THIS PERMIT ~At_[ BECOME NdLL AND 'VOID. <br /> <br />OFFICE COPY <br /> <br /> <br />