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MARION COUNTY BUILDING INSPECTION <br />SENATO.R BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 5886147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> !oe DETROIT A~[ <br /> DETROIT <br />'~Ui~T~-6? ................................... <br /> <br />PO BOX <br /> <br />PHONE: <br /> <br />F'l <br /> <br />j WIDTH; DEPTH; '~ ~g~': ................... ~"'i~R EG. LOT: <br /> ~mm mmm m mm mmm mm mm <br /> <br />TYPE: ON-sITE SE~A~E <br /> <br />CONTRACTOR. NO. <br />MANN DARRLENE <br />PO 30× 367 - ': ..... <br />~I)~NHA~ O~ECON ~7~5~ <br />FHONE: <br /> <br />WA?ER SUPPLY: CW <br />TEST ~OLE~ READY: <br />SITE EVALUATION NUMBER: <br />EX~ST~NG TANK S~ZE. <br />EXISTiN~ ~EAIN FIEL9 LINES: <br />SEPTIC TANK F'UMPE~: <br />PREVI~S NOu.BE~EOOHS: <br /> <br /> ,i! TEN ' , QUANTITY AMOUNT <br /> A'DDI3 IONAI. SUBSURFACE FEES " 1 <br /> A~ZTIoNAL,. ~LIRCNARG~ - SUBSURFACE '". · I <br /> TO~A~-.A~ESSE~ LFEES <br /> m m m m <br /> . ,, ' ".., ';' .PRE~.~US:,.RE¢¢ICTS.' <br /> ; ,~; ",..:~i.." · ~...-,'",',~,,",..':.".i.:'.?"",,,,"c~-,'~L~'..,. , ..... ' <br /> , . ..... . ~,~,,.~A~B~qE ~E._.:..~:.- , <br /> PAYEE~ MANN DARRLEqE ' I VOICE NO. '-'72 <br /> . . , · . ~ ..... _: ....... "'. ...... ' W . <br /> <br /> SEE ATTACHED gOCUHENT )FO~;.;REOU,t~E~NT~",:BE'~ ~S~:T,~G~ .SYSTEM. <br /> .......................... ~.~_ -~.~%~%~_~. ~ ....... ~ ........................................ <br /> ; ~IS IS A VALID PERNIT';:~':. ~".'P'~RiT. '~XPI~ '~&8'.'D~YS .FR~ ITS [8~E ~ATE. IF <br /> CQfl~TRUCT~ON F~LS TO HEET'.'~LL". RE~UZRE~Efl~ O~ ST~TE.'~' ~ H~E[DN COUNTY B J)~LDTNG <br /> <br /> "'"" '"'" ' '"' <br /> , , , . ~ <br /> <br /> . ............/ <br />FO~M ~ U* ~ ~ ~. ~ OFFICE CO~ <br /> <br /> <br />