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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97;301 <br /> <br /> PHONE: 588-5147. 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder. <br />Other <br />this document, <br />oA'r£: 06/17/92 <br /> HA!~K'fN$ , ~ERT J JR. <br /> <br />S GN^TURE OF APPL ¢.¢,N? .............................. <br /> <br />? 1050072 <br /> <br />I ~354 JAME~ HAY SE <br />~ AU~V~LL~ OR 97325 .... · <br />~ ~ ~' ~N'TY NO <br /> <br /> ~E~ ~71-Q483 ', SITE ~ER~ 92-02014 <br /> ~ VA~AT[~: <br /> <br /> ' I ' 29 ! " 8S'~ 1~ ~ AR ~ 48 <br /> <br />, ~ ~-- ~ ~ ...... i *"~ .... ; -? - ~'""~"" '~;' ............. ~: ~ ~-*~'~-~ ' ......... ~z~"~'"-~o ........ ' ...... , <br /> <br />TYPE: ON-SITE 8EWA6E <br /> <br />PEI.t.~IT OR APPLICAI'[O~I,NO:, :" 402&7 <br /> <br />HATER ~JPPI_Y.- ~ <br />'rEST HOLES RF-_.AOY= <br />..',.'SJ~TE EVALuA'rlc~ NU~ERt 28246 <br /> <br />~IST[N6 D~JN P~ELD. LINES: <br />sE~'r [c T~K <br /> <br /> i'FEI~ ..' ' '" : ~; fJ.JANTiTY AMOUNT <br />STANDARD ~-SiTE SYST~ :'.:' ~ 3 $21O.08 <br /> <br /> /; ........ ~OTA~ ~ED~.~E~' $210_ OO <br /> ;" ..... PR~I~ R~i'P~ $210.00 <br /> <br /> aA~e~ ~E-'.', ,, ,omo <br />PAYE: ' :; .... RECEIPT <br /> <br />SEE A'fT~ED ~U~T POR :,RE~'[~,T~,, OF, ~l;E ,~E .'8~T~. <br /> <br /> ~',~]~; -THJS .~[~ ~ALE, .B~'='~:. . , <br /> <br />REI',1ARK~: SEPTIC. USE E~TRE.~EC.,ARE IN'SITiN~ SEPTtO 'FANK,"DRAIN?iEL0 LINES AND UPSLOPE <br /> ~RTAi'N O~[,N,_ ~EE ~l~O PLO~ P~ DA'F~0 6/15/92. ~ <br />~ALD E. ~DLEY. ~Ri~ ~NI'Y BUILD[NG OFFICIAL / BY .. <br /> <br /> <br />