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MARION COUN~ BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; 588-5147 B:O0- 4:30 <br /> :~4 HOUR CODE-A-PHONE: 588-7904 <br /> <br />~SS~:.[J. ,~ ANNETTE ~ 74442~7Z ~ RESIDENTIAL <br /> <br /> 6121 SANTIAM SPRINGS CT ~E ~f~ ...... ["~T ............... <br /> AUMSVILLE OR ~7325 ~ARION COUNTY NO <br /> <br /> _TZZ <br /> <br /> ~ SANTiAH <br /> 48~ - 71ST AVE SE <br /> <br /> PHONE: 3~2-~618 ~LUATION: <br /> ~ .i 2.2 ~ AD ~ YES <br /> <br />TYPE: liN-SITE SEi,L~F.,E <br />PERHIT OR APPLII:;/iT'rON NO.- 98,48;797 <br />CON~'RA£TOR, NO~ <br />BISSELL,, ANNETTE <br /> <br />SALEM 97~81 <br />PHONE'. 362-3&10 <br /> <br /> WATER SUPPLY: PW <br /> TEST FOLKS REAl)Y: <br /> SITE EVALUATION <br /> , EXIST~Q TANK SIZE: <br /> EXISTING DRAIN FIELD <br /> $~PTtCTA~K PUMPED: <br />' .PR'EV~OUSNO.' ~EI)ROOMS: <br /> <br />STANDARD ON-SITE SYSTEM· , · ..' ,.,,... ... · QUANTI~Y AMO?T <br /> ,; · : ' '." · .' ' '.. , '.,.:'.. , , $;~,55~0 <br /> <br /> SE.?'~WE,'," ,..' <br />PAYEE: KENNETH WI)ODS ,'~' ,, · ,,'"..,:.:,:. <br />RECEIVEI) BY: DH2 <br /> <br /> $255.00 <br /> <br />RECEIPT NO~ 51341 <br />TYPE: ~1( CHECK ~: 185& <br /> <br />Un~U~/~ ' '' : Iii' i~;"kHE.' ~ESPONSI~E~,T¥; .Of 'I~f 4E APPLICANT TO ASS JF¢. THAT <br /> '~: ~,.. '. '. · ."' '.. ,' ,..', .~ .' ' ,,.o,., ; ,,'~' .'" , <br /> <br /> <br />