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MARION COUNTY BUILDING iNSPEGTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97:3.01 <br /> <br /> pHONE; ~8-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Off A F~PL[CAN T; ....................... <br /> DATE; .......... <br /> <br /> ....................... <br />435 NORTH S~:[AM H~ ~E' : OR 97342 <br /> <br />RES i DEN T <br /> <br />~'?'l? 14'tH AVE <br />~EJZF~R OR 9?203 <br />PHON~= 390~133'7 SiTE NU~ER: 92~0'1557 <br /> <br />TYPE: ON-3ITE SENAGE <br /> <br />PER'4J'[ OR APPLICATJ. ON NO; 39&93 <br /> <br />CONTRACTOR, NOs 36~21 <br />K~/iN'S ~ACK~OE <br />P 0 BOX 465 <br />OE'fRO~T, <br />PHON~: <br /> <br />WATER .5~JPP~Y; C~ <br />TEST HOL~ READY: <br />SITE EVALUATION NUMBER: 29057 <br />EX~STiNG 'rANK SIZE: <br />~XISTING DRAIN FIEL0 LiN~S; <br />~EPTIC TANK PUMPED: <br /> <br />5~EPAGE <br /> <br />TOTAL.A..,.%~IES~E0 FE~ <br />PREVIOUS R~:EtPTS <br />THIS RECEIPT <br /> <br />QOANTITY AMOUNT <br /> $2~0.00 <br /> <br />BALANCE OUE $O, g0 <br /> <br />PAYEE: INVOI6~ NO; <br />RECEIVED BY: CL TYPE~ CHECK ~: 0 <br /> <br /> 5~ ATTACHED DOCUNiF~NT FOR R~iRF~4~.NTS OF ON~SIT~ ~-~A~AG~ ~YSTF2~1, <br /> <br />~ THIS IS A VALID PER$4~T $ . THiS PEI~IT EXPjR~ 3~0 DA'rS FR(~ ITS I,~E DATE. iF <br />C~]NSTF~JCTIC~N FAI~ TO N6ET ALL R~X~JiR~4~NTS OF STAT~ LAI~ AND ¢V~RiON (~JNTY BUILDING ~NND <br />ZONING ORDINANCES, THiS PERI~ltT SHALL BE'OtX,1E NULL AND VOID+ <br /> <br />DONALD E, VC]ODL~:Y, MARION COUNTY BUiLO~NG OFFICIAL <br /> <br />OFFICECOPY <br /> <br /> <br />