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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO_ 225 <br />920 HIGH ~TR£ET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5t47 8:00 - 4;30 <br />24 HOUR CODE-A-PHONE: 588;7904 <br /> <br /> i- ) ,' <br /> ~].7Z ~:[LL CREEK R~ SE ' . ................~ ...... <br /> <br /> PHON ~'~ 7Zg,.l~R7 ~ V~LU~T%ON: <br /> , ~K: {se Tow ~P. : 2~ ~ EFU <br /> <br /> TE~T HOLE~ REaD'f= <br />PER~IT 8~ APPLZC~T~GH HOt 464~e SZTE EV~LUATZON NUMDER; <br /> [XZST~NG TANK SIZE: <br />COi,~TRACTOR. NO, EXISTING DRAIN FIELD LINE~: <br /> <br />S~ME PREVIOUS NO, BEDROOMS: <br />PHONE:: <br /> <br /> DI.IANTtTY AMf. t?,JNT <br />AUTHOR:I:ZATZON NOTICF' - J,~O VZ.~I?' '~ ,~.95,.~.) <br /> <br />F'~EV!OU9 RECEIPTS <br />THiS RECEIPT <br /> <br /> · A¥I,,E.. RECEIPT <br /> R[i:CEIV!SD E .... F~L TYPE~ CHECK .~: <br /> S,,t:. AE~A,.,NE~ ~CiCUMENT PO~ ~EQUI~ENENTS OF ON~B[,E SEWA~ <br /> <br /> * THIS IS A V~L~ PER~!T ~ THIS PER~IT EXPIRES ~6B <br />C, OiqSTF(UCTION FAILS TO MEET ALL ~E~U~REMEN~8 OF, SI'AT~ <br />SON?,); O!:~I>~NAN:ES,~ THIS PERMIT SHALL BECOME h!iJL]_. ANO,YOiu. ' <br /> <br />,l{.l,d~l_EF./ mARIOi~ CO~;NTY ]3Ui:LDIN!; OFF'~CIAL / B.'~' ............................................... <br /> <br />~o~ ~ uc ~-~ ~v, *~ OFFICE COPY <br /> <br /> <br />