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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. 225 <br /> 220 HIGH STREET NE <br />· ' SALEM, OREGON 97301 //~ <br /> <br />¢.,ARR I SON,, DON ......... <br /> <br /> 6171 SANTIAH' SPRINGS CT <br /> AUMSVILL. E OR 97325 <br /> <br /> 7585 BATTLECREEK ~D SE <br /> SALEM OR 9730t <br /> PHONE: 370-2~80 <br />~C6d~ ............... i ~fo~- .... <br />....................... i~'~; ................... ~-x~A:~ ...... <br /> <br />SITE NUF~ER= <br />VALUATION: <br /> <br />TYPE: OH-SITE SEWAGE <br /> <br />PERHIT OR APPLICATION NO: 7049783,~,, <br /> <br />7585 BATTLECREEK <br />SALEH 0R <br />PHONE: ~78-2588 -'..~:. <br /> <br />~ATER SUPPLY: PW <br /> EST HOLES READY: <br />SITE EVALUATION NUNBEE: 92-889 <br />EXISTING TANK SIZE: <br />EXISTING 9RAIN FIELB ~INES: <br />SERTIC,,TANK,,P, UMPE~:, <br />PREVIOUS NO. 9EDR00MS~ <br /> <br /> ITE~ <br /> STANDARD ON-SITE SYSTEM:,.. .... ...' "... ..-.. '. '"": .... I $25§. 80 <br /> <br /> :, ......... ..' ........... ~E'V'IQUS .:~E~.IPTS $8.8~ <br /> .'"': .".: ..- · .... '.'THIS RE~IPT ..'" $255.88 <br /> '.: '" · ':..'>'"'.'-:".'{.' :~hL'~'~E ~UE ..::.:. $~. ~ <br /> <br />FOLLOWING HU~l' BE CO~PLETES;~.~ -~ ~' ",'I;T,/,I',~THE .:'RESP~SIBILITT OF .THE APPLICANT TO ASSURE THAT <br /> <br /> PkgN <br /> REVIEW: <br /> <br />OFFICE COPY <br /> <br /> <br />