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AURORA <br /> <br />503-678-2758 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMML,'141TY DEV~[,GPM£NT <br /> 26~Ch~fchS~.14~, goo~ 132 <br /> S~ ~ 97301 <br /> <br /> SITE EVALUATION AND/OR SEPTIC PERMIT APPLICATION <br />1. LOCATION OF INSTALLATION <br /> <br />2. CONTRACTOR INFORMATION <br /> <br />Sift F.~l~tton, Sinsle Flmfly D~]li~, e~ ~dl lot ...................................................................................................... <br />Si~ E~I~. Comm~t~t, tim l~ 8~l~s ............................................................................................................. <br />Sim E~al~t~o, Comm~ial I~ · 5~ 8~I1~ .................................................................................... 320.~ <br />Site Enigma. R~i ~ Vsmme .............................................................................................................................. ~20.~ <br /> <br /> S~rd Sys~ ............................................................................................................................... ~82.~ <br /> <br /> ~1 T~h in S~olim ............................................................................................................. <br /> ~gDirati~-A~o~ti~ S~m ........................................................................................... <br /> ~y Wa~ Dia~eai $~ ............................................................................................................... [ ~.~ <br /> P~eu~ Di~n $~ ................................................... <br /> <br /> ~ ~i~ ....................................................................................................................................... 3t2.~ <br /> ~a~ T~h ................................................................................................................................. ~S2.~ <br /> <br />C~ Po~i~ or Co~i~l M~or ~it. over 1~ <br /> 600 ~ll~s. I~ ~11o~ .............................................................................................................. <br /> <br />S~ F~ly Dwoll~. ~i~r ~r {~ only) ................................................................................................... <br />~1~ F~dy ~dli~, ~ajor ~[r (~fi*l~) ..................................................................................................... <br />~i~il or C~mial: <br /> <br /> Fruit ~l, F~ld Visff ............................................................................................................... ~.~ <br /> P~I~ ~1, ~ Field Vi~l~ ......................................................................................................... I I~.~ <br /> Au~za~on. Fidd Vbi~ ................................................................................................................. <br /> Audition. No FMld Visit ............................................................................................................ I ~.~ <br /> <br /> Annul EviCtion Tem~a~hi~ Mobil* I[~ ................................................................... <br /> Annul Eviction. ~e S~tem ..................................................................................................... <br /> Pump or ~ing Sip~n ..................................................................................................................... <br />~ Track Ins~tlo~ F~ V~I~ ......................................................................................................................... 67,~ <br /> <br />Se~c ~p~tion F~ ........................................................................................................ 25.~ <br /> <br /> S <br /> <br />* $100/S00 I[Bllon3 <br /> <br />+ $25/~00 jillons <br /> <br /> <br />