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MARION COUNTY BUILDING INSPECTION <br />SENATOR ~LIDG, NO, 225 <br />22:0 HiGH STREET 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 mm a Ce, gistered bultder OR the authorized representative <br /> <br /> JDOCJ-JJ.'~L~ Ei~LI:'H ! _67J~D.~LG.~ .................................... RE~[~'EI~LT. ZAL ......... <br /> <br /> 536 N SANT~AH H~Y _. ~N~RACTOI~Y: UGB: . OCCUPANT LOAD: <br /> <br /> , ~E~R~[T , , OR 97542 . . ~ ~E~OI~_ J N~~ <br />~0¥~"'~ '~'~"i[~r~'~ ............................................................................................................................................................................................................................................................ <br /> <br /> PFIONE: 769-64~ <br /> ~ V~LURT[OH~ <br />~c5~ ~'~: <br /> <br /> WIDTH: ?EPTH: <br />....................... ~...J ................ ~ ~,~__ .~s~.L._~ ............ L..~ ...... =,=.:~=,=:~ .......................... <br /> <br />TYPEc ON-SITE <br /> <br />PEI~tIT OR APPt.~CATiON NO= 9~48479 <br /> <br />CONTRflCTOR~ NO. <br />BOCHSLER~ RALPH ,,., : .,- ,:,.-, , <br />412t~ KINSTON LANE <br />STAYTON. OR 97~S~ <br />PHONE: 769-64~3 '~ ./ <br /> <br /> ~ATER SUPPLY: C~ <br /> TEST HOLES READY: <br /> SITE EV~LUATZON NUMBER: <br /> EXISTIN~ TANK SIZE: <br /> EXISTING DRAIN FIEL~ LINES: <br />.::I".$E~IC...¥ANK.'~UflPED~ <br /> PREVIOU~ NO. ~EDRO0~S: i <br /> <br /> ITEM ' ' .... ~UANTITY AMOUNT <br /> <br /> PAYEE: <br /> <br /> ULLU~H~ ~UST ~[ COHPLETE~.'~ IT IS.THE RESPONS~L[,Ty' OF: THE APPLICANT TO ~SSURE THaT <br />fiLL NECESSARY IHFOEH~T~ON, HA9 '~EEN PRD~I'gE~.' ". '" .... · <br /> <br /> <br />