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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 22;5 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE;1588-5147' ' "$:00 ~ 4:3(] '" <br /> 24 HOUR OODE-A~PHONE: 588-7904 <br /> <br />O ~ reg s ered ~ de~. <br /> <br /> ORTE; ZO/O6/~2 TZHE: [2:00:48 <br /> <br /> ~52~TTgWAY RO ' ' ,' <br /> <br /> P 0 BOX 656 ,L .................................................................... <br /> CANBY, OR 97013 j · S[TE NU~ER; ~2~0~4~ <br /> PHONE ~ 265~199~ , VALUAT.ION: <br /> <br />TYPE: ON-SITE SEWAGE WATER SUPPLY; . <br /> TEST HOLES REROY: YES <br />PERHZT OR APPLICATION NO: 42~04 SZTE EV~LURTION NUHBER: <br /> ~ EXISTING TRNK SIZE: <br />CONTRRCTOE, ~0. EXISTING DR~N F[ELO LINES: <br />HOSTETLER. O~NIEL ', ~EPTIC T~NK PUHPEO: <br /> <br />PHONE: 26~-[975 ~ .':.' ' <br /> <br /> [TEH ' ·"'"'[ ..'"" · · QUANT[TY ~HOUNT <br />S~TE EVRL. - FIRST lOgO ~AL'OSF ' " '~' '' ' ' 1 $220.00 <br /> <br />SEE ~TT~CHED DOOUHENT.]FOR.:.',R.EgU:~RE~NT9 'OF~,.ON~S,~'?E"SE~E ..SYSTEH. <br /> <br />NOTE~ THZ8 DOES NOT S~NT".OE",,~,NP~,Y,.,~EEH],$8~ON,-TO <br />ONSTRUOT~ON PE~HZTS HUST BE"O~T~'~NED BEFORE BUiLDiNG, OR. :SEPTIC INSTALLaTiON <br /> <br />REHARK$: SE <br />DONALD E. WOODLEY, HARION'COU~TY BUi~OIN~"~'FFIC'in~ ! BY' <br /> <br />OFFICE C~)PY <br /> <br /> <br />