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Commercial (O~P - Daily Se~ FIOw~ <br />Si~,,,~aluation, tim 1~ gAL ~ <br />,~it~ Evalu~o% ~ ~dl...500 fl~+ DSF ......... 75-0o <br />., Const~,~J~A ~ aepaiq ~e~. <br />St~nd~ Sg~m Ie, t~n Z0~ pi. O~ 245~0 ...... :.'~ <br />Ho]ding T~k ................ 245-~ ~.. <br /> <br />~r e~h ~dditlo~l ~ ~1, DflF 2J~ ~ ~0 <br />RepMr~ M;~r 75,~ <br />Con~clloa P~k ~n~al (Fi~I4 <br />Autho~lion NoGce (~eld ~Jsit) 150.~ <br />, A~ql ~valualJon ofAltcm~vc S~cm <br />, ,~?~ual ~vaiu~ion of~r~ Sy~m ~,00 <br />Pumper T~ck lfl~on. FI~ ~k ~0,00 ,O0 <br /> <br />( ) I will ,:all when Test Boles Dog <br /> <br />~ I am a re~s~cred builder or ( ) the luthoxJzed mprelenl~Ve <br />( ) 'Ilxc wod: will be peffoemed by a DEQ Lken~ed l~llef <br /> <br /> Residential gin(,le Family ,:~ <br /> $1t~ Evalu~on, fir~]ot ...... 245.00 <br /> ~,~met.ion <br /> <br />~[[ , 4 [ s.~ <br />~r~ ~lot (dmi~field) 115.~ <br />~i~..~nor (auk~ 75.~ h~ ............ <br /> ~n~on ~e~t ~w~ (Field Visit) 150.~ <br /> Coe~m~ ~e~it ~a~gl ~o FieQ Vino 85.00 <br /> Autho~ioa Noti~ (~eld VhiQ ~ i~.00 ]~ ~ ...... <br /> Aa~ ~v~o~e~- o~ ~hip MH ~-00 ,00 <br /> <br /> R~e'pc No <br />I i8~¢ I0 im.~all according ~o the ~ubmitted plans and s~ecihcllions, ~e law~ <br />of the Stale ofO~go~ ~nd the ordie, snc~s of Wmfion C/aunty, <br /> <br />DATE: <br /> <br />MC: 15.$1 REV 8/94 <br /> <br /> <br />