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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />~220 HIGN STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: $88-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> DATE: lr.'j/22/?J TIHE~ 13:40:24 <br />~',SWN~:~: ' ~'~' ~ ......................................... ~V~ ........................ · <br /> HUi~ JOHN & DONAL~E ' 5~?~8 ~RESIDENTIAL <br /> <br /> ~45 SHAW HWY SE ~ .................. ~ ..... ; ...................... ~ ........................ ~, <br />; AUM~VILLE 0~ 97~5 UNT . ~ <br /> <br />~usE o~ eb~uPi~a: ............................. ' ....................................................... ,o. o~ M~s: <br /> <br />SAMI~ <br /> <br />PHON~: 749-'~7~9 <br /> <br />VALUATION: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERNIT OR APPLICATION <br /> <br />E~RAETO~ <br />MUtR~ JDHH & QONALEE <br />SAHE <br /> <br />PHONE: <br /> <br /> : 8S ! 1W , A~ 148 <br /> <br /> WATER SUPPLY: <br /> TBST HOLES READY: <br />78~851 SITE EVALUATION NUMBER: <br /> EXISTING TANK SIZE: 1008 <br /> EXISTING D~AIN FIELD I. tNE~k 220 <br /> SEPTIC TANK PU~PED: <br /> · . .. ~EVIOUS NO. BE~ROO~S: ') <br /> <br /> ITE~ QUANTITY AHOUNT <br />AUTHORIZATION NOTICE - FL]O. VISIT 1 ~160,,00 <br /> 'TOTAL ASSESSED. FEES $16~,~ <br /> PREVIOUS' R~CEIPTS $8.88 <br /> <br />- ' ' ' ...... ~:S'TRE' '8~P,o~IBIEI'~ DF THg APPL~CAN~ TD 4SSURE THAT <br /> <br />~F~U # ~ ~-S~RSV. ,~ OFFICE COPY <br /> <br /> <br />