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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: 588-5t47 S:O0 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am pedorming work co a ~rope~ty J own or OCCupy, <br />I am a registered builder OR the authoHze~ repm~ntatlve <br /> <br />Othe~ <br /> <br />DATE! ................................................. <br /> <br />TYPE: BP,--SITE SEk~GE WATER SUPPLY: PW. <br /> TEST HOLES READY, <br />PERHITOR APPLICATION HO; 49','/41 · SITE .EVALUATION NU~BE~: <br /> EXISTIN~ TANK SIZE. lee0 <br />CONTRACTOR. NO. · , , , EXISTING'DRAIN F~EL~ LINES: <br />WILLZAMS~ FRANKLIN D..~',,.-~ffEt.~,~,,,~;:~c~:~..:-~,~E:p~F,~WK~c~d~pE~: ?/7/73 <br />SAME ' i; i PREVIOUS NO. D[~ROOMS: <br /> <br /> ITEM QUANTITY <br />EXISTING SYSTEM EVAL. <br /> <br /> PAYEE= EECEZPT NO: <br /> RECEIVED ~Y: P~.. L_ TYPE: CHECK t: 0 <br /> SEE ATT.ACHE~ DOCUMENT <br /> <br /> ~ THIS. IS ~. VALID, <br />CONSTRUCTION FAILS TO~ <br />ZONIN~ ORDINANCES, <br /> <br />AMOUNT <br /> $160,0~ <br /> <br />$160.00 <br />$160. G0 <br /> $~.00 <br /> <br />$0.00 <br /> <br /> ITS ISSUE DATE. IF <br />MAEION COUNTY BUILDING AND <br /> <br />REMARKD: SS/EBE OKAY ~RTIT,~ON. FLU PUM~,~O R~IR AREA. <br /> <br /> <br />