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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 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />OAT~ ............................................ <br /> <br />...t't,U,,{h..~ JOHN. &. DI)i,'~ALEE ................................. ;..,;&l~__"7~OCd~ ................................. z..BEZSZD~.I,AL <br /> <br /> : <br /> <br /> SAHE ~ ; <br /> PH~INE: 749-"37~9 ~ VALUATION: <br /> <br /> : ~ · ~ <br /> <br />LOT: <br /> <br />TYPE: ON-SITE, SEWAGE <br /> <br />CONTRA(.]'I'OR, <br />MUi[R., JOHN & DONAL. EE <br />SAME <br /> <br />PHONE: <br /> <br />WATER SUF'PLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION <br />EXISTING TANK SIZE: <br />EXISTING ~RAIN FIEI,.~ LINES: <br />~EPTICTANK P.UMPED: <br />PREVIOUS ~0~ BEdROOm8; 2 <br /> <br />220 <br /> <br /> I ]'E~t G/UA N T,t 'l" Y AHOUI,FT <br /> ~UTHORZZA'I'ION NOTICE ~ FLb4, WgZT .... <br /> <br /> · ' . "" · TOTAL: ASSESSE~ FEES <br /> <br /> ' ' : '.- ' '"" , ..7-'.TH:t'S" RECE~ffT' ." '"", <br /> , .', .' ". ?'?..',-.',,?,,~,:..7.. '7'.,,, ,, ' <br /> <br /> SEE ATTA~HE~ DOCUMENT FBR'/.REQUIREH. ENTS OF.'O'W-8.i.$E .'SEWAGE <br /> <br />ZOl,,~Nu ORS.[NANCES~ THZS PER.MI ~'8HAE.L' BECOfftE.NULL...ANb VOID. ' <br /> <br />B'Y <br /> <br />¢onu ¢ ~ ~,~ ~uv.,~ OFFICE COPy <br /> <br /> <br />