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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 525 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-814.7 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> S98~ W STAYTON RO <br />AUMSVtLLE <br /> <br />SAME <br /> <br />PHONE: 749-2214 <br /> <br /> "' ]p~,~., ' '~4~ .................... ~ .......... L-6f[ ............. d ~ .......... <br /> <br />TYPE: ON-SITE <br /> <br />CONTRACTOR~ NO. <br />COOK, ARNOLD <br /> <br />PHONE: 749~22[~ <br /> <br />9043~40 <br /> <br />WATER SUPPLY: <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREV~OU3'NO~"~ED~OOM$: <br /> <br /> ITEH ,' QUANTITY RMDUNT <br /> ANNUAL EVRL. ~ TEHP OR H,DSHP.HH ., , .. , ~ $75.00 <br /> <br /> PAYEE: TRANSFERE FROHrPLANNI. Na.DEPT ":""':'' RECEIPT NO: 45427 <br /> SEE ATTACHEO OOCUNENT FO~".RE~uIRE~ENT~]OF',~N~TE 'SECA'GE ~YBTEfl. <br /> <br />FO LOCI ~ ~UST BE DOHREETE~,'. tT IS. ~E',,'RES'PONSZB'~,L~ OF THE APPLiCaNT TO ASSURE THaT <br />~LL NECESSARY [NFORHATION H~$.BEEN'.PRO¥~DED.. ' , · .', <br /> <br /> REHRRKS: HAROSHIg - '0 <br /> <br />~oa. ~ ~¢ ~.~ P~w. ~ OFFICE COPY <br /> <br /> <br />