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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> · PHONE: 588-5147 8:00- 4:80 <br />24 HOUWCODE-A-PHONE: 588-7904 <br /> . - . <br /> <br /> TA~ LOT: <br /> <br /> CONSTRUCTION TYPE: <br /> <br />'MARION COUNT_Y} NO <br /> <br />STTE Hl.~;l~];~: <br />V~LUATION: <br /> <br /> ~MIT OR. APPLICATION NO: <br /> <br /> H.ZMMEL:SPACR, RENNE- <br />-SH~W"HWY SE <br /> <br />-PHONE: <br /> <br />'EX~iSTING'~YSTEM EVA~. <br /> <br /> 'PA~EE: HIHHELSPACH~ <br /> RECEIVED BY; CL <br /> <br /> SEE ATTACHED <br /> <br /> ~ THZ8 <br />FOLLOWING ~UST BE <br />ALL N~CESSARY <br /> <br />'WAT'ER RW <br />TEST READY: ' <br />SITE NUMBER: <br /> TANK SIZE: <br /> ~RAIN FIELD LINES: <br /> <br /> · <br /> <br /> QUANTITY AMOUNT <br /> <br /> $160.~0 <br /> $~.00 <br /> <br /> $0.00 <br /> <br /> iECEIPT NO: 54252 <br /> ,,, ~PE: .CE CHECK ~: 1827 <br /> <br /> "EH. <br /> <br /> :EVIEW PRO~ES8 W~ERE THE <br /> ~PPLICANT TO ASSLI~E THaT <br /> <br /> ~., ..... '. DI~TE ......... ~-~-~'.'-'~-~'~:,-,.DT, T-¥4k~I~.:f~"fPTYnA]. BY DATE <br /> s~/~.s~: r~,F: ~2 ,~',:~,;L~ :~,,,~; .,~,~[~"~,?:~,~ ':.~..,. / ~ ' ~ ...................................... <br /> <br />~ ,lin'//~,~ ,,~-¢ · . :,~ -, <br /> - ~ / ,; <br />· ' ~ ' ~ ~ ~ _~ , ,.,. <br /> <br /> OFFICE COPY / ¢ ' <br /> <br /> <br />