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L;L~UNIY BUILDING INSPECTION <br /> SENATOR BLDG, NO. 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> I PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A:PHONE: 588-7904 <br /> <br /> I~ATE: 8-~1~'.4/95 TI~'iE."..1.6,.07~4z <br /> <br /> 11671 .- A~ ~LI>G ,-,~LMEGA FAF(HS ~ ..................................... <br /> 1:~677- BEI._OZf~,R HATCHERY ~ SITE N~MBER; ~5~847~ <br /> F'HONL~: ~56.~(;I ~ J VALUATION: <br /> <br /> TYPE: ON-SITE SEWACE WATER BUPPLY: pw <br /> TEST HOLE~ READY: <br /> PER~IT OR APPJ, I~ATIQN NO: 61564 ~ZT~ ~VALUAT~ON NUMBER: <br /> EXISTING TANK SIZE: <br /> CONTRAO~[(JR~ NO. ~4~1~ . ~ EXISTING ~RAIN FIEL~ <br /> ,ACE SE~TIC ~_~j ~ SEPT~ TANK <br /> <br />5TO ONSI?E SYS < 18~0 G~L ' ' ':?"': :':"'' .: '1 <br /> <br />f' ~ El:,, ~ .......... :'<""~':'~':" ' <br /> ,, ECEJI-T <br />RF~C~IVED BY:{ ,~TYPE: CHECK <br />[ A'i'I'Ar;HI~ ]) $~STEH. <br /> , ,,,, , .. <br /> <br />OFFICE COPY <br /> <br /> <br />