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MARION COUNTY BUILDING iNSPECTION
<br />SENATOR BLDG, NO, 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
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<br /> PHONE: 588-5'J 4.7 8:00 - 4:30
<br />24- HOUR CODE-A-PHONE: 588-7904
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<br />IOWN~R'.OATFi,~ ',L:LI~.~/¢/4 TINL'.. 1. t. 17. x~0 = ;
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<br />,.IS bt BUTT,F.
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<br />BERJ41T OR APPLiCAT~[ON I~0'- 9~9~,92
<br />CDMI'RAOTOr~ H0.
<br />1~775 HADR(]NA AVE S
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<br /> WATER ~UPPLY: CW
<br /> TE~T HOLES READY~ YES
<br /> SITE EVALUATION
<br /> EXlSTIN~ TANK
<br />EXI~TIN6 ~RAIN F~EL~ LINES~
<br />.s?TIC'TANK'PUMPED:
<br />PREVIOUS NO,
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<br /> SITE ~;V~iLUAI';[ON~ FIRST.LOT"' .....'... ........ . . · i
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<br /> ', ,,' :.-,W.';.'"-.'"..,'~H'~S,:RECEI~T ]'.. ; $265.9¢
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<br /> ' ~..:. '; .'.':,' ,,',' ",,',',,h..' ..~ .:... B6L~N~ ,DUE. ' ,..,..
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<br /> RFJCEIVE:D BY: cl ., ~ ~'.' ']'-.' '..:: ';:'..~,. .... .'___=~. '.g , . TYP~: IN .CHEuk ;% 0
<br /> SEE ATTACHED DOCUHENT FOR,'~E~U.~¢EHEN$~ OF'.'O'N~SITE,'BEWAGE SYSTEM.
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<br /> !,~OTE~ 7H~S DOES N~T 6R~T.,8~...~MPLY,,PERHISSION-..TO 9~ZL9
<br />OHSYRUE~'ZON PER4~'FS ~IST 9E' O~T~N~ '~'[F~RE"~IL~N~ 8R SEPT,8 [NSTALLATIBN BES'~N5,
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<br />FO~, ~t6 ~5,56 BEV, 4f~ 0 FFICE COPY
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