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MARION COUNI~f BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE * Room 132 * ~lem, Oregon 97301-3670 <br />Office Hours: 8;00-4:~ · Phone: (~) 588~5147 * 24-HR I~pection Line: ($(~3) 586-7904 <br /> <br /> Pernit ~ype: Subsurface <br />Inspection type: Pre-cover <br /> <br />Site nu.b,~: 95-004~2 <br /> l~pe <br /> <br /> Actfw~y, NEW <br /> <br /> Owner: WIL$ON~ GORDON <br />Job ~ddress: 6958 SHERMAN RD <br /> AUH$¥ILLE DE <br /> <br /> Installer:ZAN EWiNG <br /> <br />INSPECTION R£QUEBT t" <br /> <br /> Received by: PB Route: <br /> D~te re¢:,~B/04/gS ~nspect on: 08/04/~ <br /> Tine reC: 7~7:g2 <br /> =. Energ7 Peth: <br /> Per,it ~t 6e9~1 Setbmcks FR: <br /> CateeO~y= RESIdENTiAL L$: <br /> <br />issue Date: 81/26/75 <br /> <br /> ' Phone: 749~218& <br /> SE C~ss gtrbet:' 5ILVERFAL. LS NWY SE <br /> <br />Phone: 364/7470 <br /> <br />Scope Of Pereit Number <br />REPAIR'- MAJOR '' <br />Permit' recluire~en~s: S~:MAJ: PUMP AND ABANDON EX,^TANK. SUBMIT PUMPING REC~EPT <br /> AND FORN. AN EFFLUENT 'PUMP WILL ~E NECESSARY. <br /> <br />Cum~ent.,: AS BUILT ON SITE <br /> <br /> '~,,"/'./ ~ ' / INSPECTION REPOeT <br /> <br /> <br />