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MARION GOUNTY BL~LDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />22:0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: S88-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> performing work on 3 property I own or Occupy, <br /> <br /> DA'~ E.~ ,~/1~7~:2 ~E ........ ~,,,..~..,0,8_ <br /> ROTH, R~ER <br /> , , ,, ~ ~ ., <br /> <br />.... ': ................ 1 ................................................... ~ ............................ ~'~" .............. <br /> 108 ~ 1~ q 1000. SF NO NO <br /> <br />RESZDENT! <br /> <br />9040604. <br /> <br />NA'T'ER ,'SUPPLY: <br />TEST HOLE~ READY: <br />~[~E EVALUATi~ NUt~3ER: <br /> <br />SEPTIC 'rANK ¢M~pEo~.?ktL[NG tN} <br />PRE~ICU$ NO. <br /> <br />......... · .............. . ' , ~NVOIOE NO <br /> <br /> THE-' R~[B,J~IT~.OF,~H'~ APPLiC~T TO ~RE THAT <br /> <br />~on~ ~ ~o ~-~ ~v, ./.o OFFICE COFY <br /> <br /> <br />