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MARION COUNTY BU LD NG iNSPECTION
<br />SENATOR BLDG. NO, 225
<br />220 HiGH STREET NE
<br /> SALEM, ORE'iON 97801
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<br /> PHONE: ~88-5147 8:00 - 4:30
<br />24 HOUR CODE*A-PHONE: 588-7904
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<br />~IGNATUR~ OF APPLICANT! ..........
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<br /> DAYE'. ...............
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<br />{ VALUATION~
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<br />TYPF4 ON-SiTE SEWAGE ~ WATER SUPPLY.' CW
<br /> ) TEST HOLES READY:
<br /> $I~E. EVALUATION NUMB~:
<br />C(INI'RA[;TOJ;G ~0,, B474~'; I EXISTtNG )RAIN Ft~L,D ,.~ ~"
<br />F'0 ~(:,X 46}5 I PREViOg~ N0. BE~ROOMS~
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<br /> H ~ ..... OLAqTtTY A ~ J~
<br /> ~ Fb, · ,,,, r.'... ~ ,, '. '," , '"~,:...'.".' '.", ' :. '. '," -' · _ t_ ' ,
<br /> 'FA~I)ARI) ~N~,SI~E SYSTEM ~...;,':..", ..."...u,,,; .?..~.' .... '-.... · : t $29~ ~
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<br /> · .~ "t, ;.','. ---.'?' .'.'.'. ' ,',;,., ~.~ ~.~.~ ' :.:,~'~ ~ ~-' .REC~-L~'~ ~, ~2;~ 9 ,,
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<br />~st.L A~nCHF, D bOOL~ENT ROR:'-R 'UfRE~::8~"Og~S,I~' ~WA'Q.E
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<br />OFF~CE COPY
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