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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STR£ET NE <br /> SALEM, OREGON c~7301 <br /> <br />PHONE: 588-5147 8:00 * 4;;~0 <br />HOUR CODE-A-PHONE: ,~88-7904 <br /> <br />I am performing work On a DroDetty I own or occupy. ' <br />I am a registered bullOer OR ( ) the suthorized m~resentat ve <br /> <br />The WO?E will be Derformed by a registered <br />I have r~,~ find agree to the terms stated on tl~e reverse side of <br />[ht~ document. <br /> <br />APPLICANT: ................................ <br /> <br />DAT~; ....................................... <br /> <br />7585 DATTLECREEK RD SE <br />SALEM OR 973~1 <br />PHONE: 37G-25S~ <br /> <br />.... 1_1 ......................................... <br /> <br />TYPE= ON-SZTE SE-~AgE WATER SUPPLY= PW <br /> TEST H~LES READY= <br />PEEHIT OR APPLZC~TIO~ NO: 49~3 ~ITE EVALUATION NUMBER= 92-889 <br /> EXISTIN~ TANK SiZe= / <br />CONTRACTOR. NO. EXISTINg DRAZN FIELD LINES: <br />GARRISON. ~ON .... ~, 8EP.TIC ,TANK,,EUMPED: <br />7585 ~ATTLECREEK RD SE.s;:'""::"" '" ............. PREVIO~J~ 'NO';" ~£~DROOMS~ <br />SALEM OR ~7301 " <br />PHONE= 37~-258~ ~. <br />............................. ~ ..... ;~;'~._ ............... ; .............................. <br /> <br />:$ <br /> <br /> PAYEE: <br /> RECEIVED DY: gL <br /> <br /> SEE ATTACHED DOCUMENT, <br /> <br />CONSTRUCTION FAILS <br />ZONING ORD~NANOES~ <br /> <br />~UANTITY AMOUNT <br /> <br />~255.~0 <br />~255.00 <br /> <br /> -,, RECEIPT NO,~ <br />"'""~ :,' TYPE: OHECK ~ ~ <br />,.,~,.~';, ~ <br /> ~ :~YSTEH, <br /> <br /> AND MARION COUNTY BUILDIflO AND <br /> <br />DONALD E. WOODLEY~ MARION COU~iTY BU~'LDINg'O'FFICiA' / BY <br /> <br />~ ~ ~ ~-~e~'v, ~v~ OFFICE COPY <br /> <br /> <br />