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MARION COUNTY BUILDING ~N,SPECTION
<br />SENATOR I~LDG, NO, 225
<br />820 HIGH STREET NE
<br /> SALEM, OREGON 97301
<br />
<br />PHONE: 588~147 ,, 8:00 - 4:30 ,
<br />HOUR CODE-A-PHONE: 588-7904
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<br />NOSTETLER, OANIEL ! COMMERCIAL
<br /> AURORA14582 OTTAW~Y RD OR gToo2NE ..............
<br />
<br /> P 0 ~OX 65b ~ .....
<br /> CANBY, OR 97013
<br /> FHONE~ 26~-1993 { V~LU~TION:
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<br /> ~50 , $05 ~ 45750. ~ SF I NO ~ YE8
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<br />TYPE: ON-SITE
<br />PERNZT OR APPLICATION NO: 42304
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<br />CONTRACTOR~ NO.
<br />HOSTETLER. DANIEL
<br />P 0 BOX 656 '',
<br />CANBY~ OR 9701~
<br />PHONE:
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<br /> WATER ~UPPLY:
<br /> TEST HOLES READY: YES
<br />~ITE EVALUATION NUMBER:
<br />EXISTING TANK SIZE:
<br />EXISTIN~ DRAIN FIELO LINES:
<br />SEPTIC TANK PUHPED;
<br />,,PREVZOUS, NO...6EDROOHS:
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<br /> ITE~ : " QUANTITY AHOUNT
<br />SITE EVAL. - FIRST 1000 GAL .DSF "" " 1 $220,00
<br />
<br /> ' : ''"'::' TO~L.'ASS£GSED.'FEE8 $220.00
<br /> · ' '"':',':,.:'."'.:'....,~BEV.ZOU8 ,RECEIPTS $220.00
<br /> , -: ; '.~,~,, .::-. ..', · ,: ::j':.~',,,',,, :':.. '...,.,',,. ,'
<br /> "'...' '.i./.'.' ,o, OD
<br />PAYE[~ ..... '~"'~ ...................... ' ' .......
<br /> ....... "v ',~,,,r,,:, :,':..:. '.~.: ,'~h,' .:... .. INVOICE NO:
<br />RECEIVED BY; CL ..... '~.'., , ...... · ..... ~ -- . ...... TYPE: CHECK ~: 0
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<br />SEE ~TTACHEO DOOUNENT 'FOR',I::~U~RE~EN~$! OF..ON~SIT.ESEW~E -~YSTEH.
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<br />NOTE: THIS OOES NOT ~RANT ,OE:Z~,%.-- ~RH.ttS~,iO.N.i.[b:,,~iLD..ON,,,THiS-._.,---_ PARCEL. PLANNING
<br />ONSTRUCT~ON PERMITS HOST B£ OBT~[N'~D, BEFORE BUILD.IN~ OR'SEPTIC INST~LL~TZON
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<br />REN~RKS~ SE .
<br />DONALD E. WOODLEY, MARION:COUN'~,Y BU:I~OIN~.OFFICIRL /
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<br />OFFICE C~3PY
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