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MARION COUNTY BUILDING INSPECTION <br />SENATORBEDG, NO. 225 ~ ~ I <br />~20 HIGH STREET NE <br /> ~ALEM, OREGON 97301 <br /> <br /> PHONE: 588-514.7 8:00 - <br /> 24 HOUR CODE-A~-PHONE: 588-7904 <br /> <br />. ROBELLO, ROBERT & (;AIL ! ~ _~J~$I~.~ENTI, A~L ' <br /> AU~SVIt,LE OR ~?~25 ~ ~AR~ON COUNTY~ NO <br /> <br /> PHONE: ~64-1655 VALUATiOn= <br /> <br />i~OT: ~'E¢o'dA; '-- ~8~ ............ ~w~H~: [ n~ <br /> <br /> ' .......... ~..~~ ' <br />'. , -..,,.~.& ~-,~S ........... . ~ ...................................... ~ ........... <br /> <br /> T~PE: D~S~TE S~UA~ WATER SUPPLY: PW <br /> <br />PERMIT OR APPLICATION <br /> <br />CONTRACTOR, NO. 43162 <br />Daniel <br />5243 Sunnyview Rd NE . "' <br />Salem, <br />PHONE: <br /> <br /> TEST HOLES READY: <br /> S~TE EVALUATION NUMBER: <br />EX!ST~NG TANK ~IZE: <br />EXISTING DRAIN F~ELD t.~NES. <br />SEF'~.IC TANK. PUMPED: W/BE <br />· PRE¥IO~$"NO. '~EBROQMS: ~ <br /> <br />240 <br /> <br /> AIJrHOF:IZAT'~ON NOTICE- FLD. YZ$IT '. "' ' ' ], $160.00 <br /> ' 'TOTA~ 'ASSESSED. FEES $160. <br /> ',' PREVIOUS ':RECE[PT~ $0, <br /> <br /> RECEIVED BY~ PM ......... , ............. ,~, ,..,, ..-.. .............. , TYPE. OK CHECK ~, I5~o <br /> ............... =~===2=======-%=~:=.,=~-~==.===~-~ .............................. <br /> <br />-OLLO~ZH6 HU~T BE COHPLETED.. ~ ~"~HB YRESPONSZ~L[TY'.OF",,THE ~PPLICANT TO ~SURE ~HAT <br />REMARI(~: HDSHP~ MS <br /> <br />¢o~, ~c,~-~¢, ~v,,~* OFFICE COPY <br /> <br /> <br />