MARION COUNTY BUILDING INSPECTION
<br /> SENATOR BLDG. NO. 225
<br /> 220 HiGH STREET NF
<br /> SALEM. OREGON 97301
<br />
<br /> PHONE: 588-5147 . 8:0.0- 4;30i
<br /> ,o4 HOUR CODE-A-PHONE. 588-7904
<br />
<br /> o~ a registered builder, ~ / ~ ~ ~ ''
<br />~The w~rk will be Dorformed by a registered builder.
<br />
<br /> DATE~ 05/28/92 TIME~ 11~42:56
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<br /> 11354. J~ ~Y SE ~ [ ..........
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<br /> ~E: 371-0~83 ( SITE NUmaR: 92-0201~
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<br /> ~ 29 ~ 83 ' lW ~ AR 48
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<br /> ~ ~ ~:'[0~; - 'y~OS~N~m. NO
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<br /> · ~;YPE;, ~5j'I'E ~AGE WATER, ~PPLY~
<br /> T~T HO~ R~: ..... :.,'
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<br /> ,~I~T lNG T~
<br /> ~,Tt~TO~,,, flO ~ISTiNG D~iN FIELD LiNES~
<br /> HANKiN~ , ~ERT J JR. SEPTIC T~K
<br /> 600 ~ Vi~I' OR PREVI~S ,~0, ,8ED~:
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<br /> i "r~ :. ~'r I 'rY ~N'F
<br /> ~T~DARD ~-S~TE SYSTEN' ' · ."' :. 1
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<br /> -'" '" .' ~O~AL'~,~';FE~ $210.00
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<br /> , ,',~:.'.,:: . "'~uzs RECE.zP'F'. ,,','.: $2~o.oo
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<br /> PAY~; HAN~I'N8 , ~6R~ J'..:~R,;":.':-.; ;,,,.;,", :;-.'....r ~ "/' 'I'YP~ CK CM~C~ ~ 1007
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<br /> ~ ~'~ J~ NOT A ~JT. ~H]~ ~PLJ~ ~T ~.;'TH~
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<br /> A~ .~ ~N~T]~ H~..8~. ~]O~O., · ' .....
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