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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET, NC <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-51.47 8:0C - 4:30 <br />24 HOUR CODE.A. PHONE: 588-7904. <br /> <br />DATE: .................................. <br /> <br />!~{f'0s- ADdreSS:0. 8Ri EN, CUARLES , : <br /> <br /> AU~ OR 97002 <br />............................................................................................................ ~'AU'~ .......................... % ....... N~ ...................... <br /> <br />....................................... ~CR~T~-:IL, AO 0 J..,;l'. SON ...... <br /> <br />)'YPE; ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />OONTRA¢'rOR, NO. <br />O'BR]EN, 6.1HARL~ <br /> 30155 S. MACKSSURG <br />? <br /> <br />4034~ <br /> <br /> NATER SUPPLY: CH <br /> TEST HOLE~'~ REAOY: <br />SITE ~¥ALUATiON NUIVBER; <br />P_',','XJSTiNG TANK SIZE: <br />EXISTING DRAIN PI~LD LINES: <br />..$EPTiC...TANK.,PUMPED: <br />PR~¥~Ct~S NO. 8EDRCOr,~: <br /> <br /> i?'EM <br />STANDARD ON-SiTE SYS'FE~ '. ';." <br /> <br /> · BALANC'~ '6~.- $0,00 <br /> ...... · . ~NVO~CE <br /> <br />REMARKS: NEW SEFFIC .,, <br />CvON'ALD B. WQODLE¥, IV~ARION ~OUNTY 8UiL0~NG ~¢~iCIA['/ DY <br /> <br /> <br />