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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO, 225 ~i~/ L <br /> 220 HIGH STREET NE <br /> SA[~EM, OREGON 97301 " <br /> PHONE: 588-5147 8:00- 4:30 // ~ <br /> <br /> {/ATER ~UPPLY: PW <br /> TEST HOLES READY: NO <br /> PERf~IT OR ~/PPL]~C~TXOH NO: ~6 SITE EVALUATION NUM~E~: <br /> <br /> ='~ '~ PREVZOU~ NO. DED~OONS= <br /> <br /> ~TFJM ., ,: ........ · ,, , : ~UANTITY ANOUNT <br /> <br /> . ..'"'.: :,' ......... :.'.':.':::;~TH~S;.,~CE~PT."" , $125. <br /> '. ::::..'.' '.'.'.C ":. ';':; '" ':'.'-""/:'- ,: .' ':-,-'~" ".".'. '.:' <br /> ...... · - '.' .... <br /> <br /> ATTACHED DOCUMENT' FOR, ,REdIReCTS' <br /> THIS ZS ~T ~ P~NZT..:.THZ~,'~P~-ZDAT~D~.'HUST/~.'~H~H A REV%EW PR~ESS ~HERE THE <br />FOLLOWING ~UST ~g COMP~EI'E~:' ~7 .tS~,~E~ Rr. GPON~I~I~'IT,Y',OF THE APPLICANT TO ASSURE THAT <br /> <br /> RE~RKS: SAt M JR REP~IB, THing " , :,, <br /> <br />OFFICE COPY <br /> <br /> <br />