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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; E)88-5147 8:00- 4:30 <br />24 HOUR COOK-A-PHONE; 588-790~ <br /> <br />PHONE: 678-5744 <br /> <br />.j ..t~ .......... _4A. <br /> <br />.......................LOT: <br /> <br /> TYPE= ON-S~TE SEWAGE <br /> <br /> PERMIT OR APPLICATION <br /> <br /> COHTRACTO.R~ <br /> SOUTHE~LAND~ GENE <br /> <br />VALUATION: <br /> <br /> 1~ ........ ~ ......... L.. ~E~ ........... <br /> <br />PHONE: 678-5744 <br /> <br />10, ; AC <br /> <br />58317 <br /> <br /> WATER SUPPLY: PW <br /> TEST NOLE~ READY: <br /> SITE EVALUATION NUMBER: <br /> EXISTING TANK SIZE: <br /> ~XISTIflG DRA~N FIELD LINES: <br /> SEPTIC TANK PUMPED: FORH <br />.,.PREVIOUS NO..BEDROOMS: <br /> <br /> OUANTZTY <br /> AMOUNT <br /> <br /> NO~ICE <br /> <br /> PAYEE. <br /> <br /> SEE ATTACHED DOCUMENT ~FOR'";R~Q~IREMEN~.' '0~' ~S~E.' SE~AG~ 'SYSTEM, <br /> ~ THIS TS A VALID PERNZT.'~'" THZS.~,PE~T' EXP~ES'-36~,',PAY8 :FROH ITS ~SSUE DATE. <br />CONSTRUCTION FAILS TO:MEET":~EL. REGU:~.REHENTS- OF".S~rATE,..[~S AND MARION COUNTY BUll. DiNG AND <br /> <br />REMARKS: AUTN PF.. ~UBM~'f'~EI) ~.OL't-~ ..... 1~-1'1-~3 NOTIFIED XNSTALLED 1,888 GAL TANK <br />~ONAL~ E. ktOODLEY. '~' . <br /> . HA~ON ~DUN.~[~' B~,~!WC ~FPIC~AI~ / BY <br /> <br />~c,w,~ ~ ~ ~-v..mo OFFICE COPY <br /> <br /> <br />