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MARION COUNTY BUILDING INSPECTION <br />SENATOR 8LOG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONIC: ~88,,5147 8;00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> SE <br />~ '~72 <br /> <br />[~ARIrJN COUNTYI N0 <br /> <br />RESIDENTIAL <br />"~0'~ .......... <br /> <br />TYPE; DH-SITE SEWAGE <br />PERMIT DE APPLICATION NO: ?~47726 <br />CDNTRACTO~ <br />TDWE~Y~ WILLIA~ <br /> <br />PHON~: 7~B-77~4 <br /> <br /> WATER SUPPLY{ PW <br /> TE~T HOL~S READY: <br /> ~ITE EVALUATION <br /> EXISTING TANK SIZE: 1800 <br />EXISTtN~ DRAIN FIELD LINES: <br />SEF'TZC TANK PUNPED: <br />· P~EVI'QU~:NOL BE~OOHS: <br /> <br /> ITEM t~UANTII'Y AMOUNT <br /> REPAIR = MAJOR. <br /> <br /> PAYEE. FOWERY, WILL,AH ........ >.,, ......- · .....,, ~F~FI'PT <br /> RECEIVED BY, PH '. :..,,.:;",,~ "."'..'-. ....... · , 'ry~' ............... <br /> <br />FOLLOWIM~ NUST ~E COMFLET~;':, .IT" ~'TH~:','~RE~PON~.iBiE~,Ty ~F'TNE AP:'L~CA~T TO S ~ T~AT <br />4LL NECESSARY tNFORM4TIOH HAS'EEEN'P~OVIDE,DU'., ',:. A ~URE <br /> <br /> OFFICE COPY <br /> <br /> <br />