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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NC)- 225 <br />220 HiGH ~TREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am Dcr'/o¢lllirlg wofl( on =[ property I OWn or occupy. <br />I am ~ regiatered builder OR { ) t~e authorized repre~en%&%lYe <br /> <br /> DATE: 08/06/?3 TIHE: 11:3S:-~1 <br /> <br />DATE; .................................... <br /> <br /> "6~q~Tl~C ......... <br /> <br /> --'~a-'E~'~; ................ <br /> <br />SAME <br /> <br />PHONE: <br /> <br /> VALUATION: <br /> = <br /> <br />~ATERSUPPLY= PW <br />TEST ~LES READY: YES <br /> <br />~W~OTH <br /> <br /> "TYPE: '~IN.,-~IIE <br /> <br />4857! <br /> <br />SITE EVALUATION NUMBER= <br />EX[STIN~ TANK SIZE~ <br />EXISTIN~ ~RAIN FIELD LINES~ <br />SEPTIC TANK PUNFE~: <br />P~EVIOUS NO. ~ROOMS: <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRhCTOR. NO. <br />~AILEY~ JAMES <br />SA~E <br /> <br />PHONE: 782-~217 ,' <br /> <br /> !TEH ~IJANTITY AMOUNT <br />STANDARd) ON-STTE SYSTEM · <br />SITE <br /> EVALUATION~ <br /> FIRST <br /> <br />REMARKS; SE/SS .... .. ,. ~ <br />PONALI) E. I~OOI)LEY,, MAR~[13~ COUNTY BUIL])ING'.OFFIC~AL / ~Y ............................ ~ <br /> <br />~0~m, ~ ,s,s~ n~v, ~ OF FlOE COPY <br /> <br /> <br />