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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-514.7 8;00- 4:30 <br />24 HOUR CODE~A-PHONE: 588-7904 <br /> <br />APPLICANT:... <br /> DATE~ . <br /> <br />~hTE¢ ~9Z23,/~3 ...... ZIME¢,,,~l:4~:45 ............................... <br /> <br /> 7077 I. IPSCOM~ ST <br />AUMSVIL, LE <br /> <br />SAME <br />PHONE: VALUATION.' <br /> <br />TYPE: ON-~ITE <br /> <br />PERMIT OR ~PPLICATZON <br /> <br />CONTRACTOr, NO. <br />HAEVERNICK~ KEN <br /> <br />PHONE: <br /> <br />,I,WATER'$UPPLY~ PW TEST HOLES READY: <br /> SITE EVALUATION NUMBER: <br /> EXISTING TANK SIZE." <br /> EXISTING BRAIN FIELD LINES: <br /> SEPTIC TANK PU~PED: <br /> PREVIOUS NO. ~[DROOMS: <br /> <br /> iTEM ,' , ' ' QUANTITY AMOUNT <br /> STANDARD ON-SITE SYSTEM..! . .' '.. 1 $255.00 <br /> .... TOTAL ASSESSED FEES $25.% 00 <br /> <br /> SEE ATI'ACHEB DOCUMENT'. FOR~.~E,~Q~REHENTS ;~ ON-SI.~.: SEWAGE.'SYSTEM, <br /> <br />ZONIN60RD2NANCES, THIS.. PERMI~ SHALL. ~EGOME NSLL AN~".'.VO~D. <br /> <br />REHARKS: 8TD SYSTEM <br /> <br />DONALD E. WOODLEY~ ~AR~ON COUNTY ~UIL. DZNC; OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />