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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I h~v~~ side of <br /> <br />'TYPE: ON-SITE SE~.E i WATER ~UPPLY," PW <br /> . [ TEST HOLES READY: YES <br />PERi~tT 0~ AFI~LZCATION HO~ 61'1~ , f, SITE EVALUATION NU~ER: <br />CONTfiA~TOR. NO. 34916 ~ [ EXISTIN~ DRAINk. FIELD LINES: <br />STAYTON SEPTIC ~', . ' SEPTIC TANK PUMPED: <br /> STAY'rOM sczo ; P'REVIOU9 NO. B~EOOM~: <br />PHONE: 769,,-2~2 <br /> <br /> ~TEH <br />SAND r ILT:,R <br /> <br /> PAYEE: ~, ]:; R~OEIPT NO.' <br /> REC~:IVEt) BY: CL ,'~ ~.i TYPE: CHECK ~." 8 <br /> SRE ATTACHED DOCUttENT ~Y~TEM. <br /> *~ T~S I~ A ~ ~TS ISSU~ ]DATE. ~F <br />[':L]H3'~ kUCT~ON F~ · <br /> MA~IOH OOUNTY BU~L. DZN(~ ,J =, <br />ZONZH~; ORDINANCE'S~ l'HI~ <br /> <br />!i~A, NI)~'I!.i FiN (;~/95 PLANS) n~ <br />!~L:'O.OI..I<Y~ P,A~IO$,COUJhY~" gUILDINGI OFFICIAL /'~i'¢ .... -_ <br /> <br />OFFICE COPY <br /> <br /> <br />