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MARION COUNTY BUILDING INSPECTION <br />SENATOB BLDG. N.O, 225' <br />220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> ~HONE 588-5147 <br /> CODE-A,PHONE 4:30 P.M. - 8:00 A.M. <br /> <br /> I have read and agreo to ~he terms stated on the reverse side of <br /> th~s document, <br />L~.'~ %; ?'/','!/""i -; ¥_;.:: ?!' <br />OWNER. · .. -~ ... ..,., <br /> <br />CONSTRUCTION TYPE: <br /> <br />CONTRACT CITY UGS <br /> <br />SITUS ADDRESS; <br /> <br /> ~!52; <br /> ,¥, Y~3'v 2 L.L E <br /> <br />3;; <br /> <br />SUBDIVISION <br /> <br /> SITE Nt. JHBER: <br /> VA',. U ,'x.~ !ON <br /> <br />SECTION TOWNSHIP RANGE <br />~" *.A: 3693,?' UNITS: <br /> <br />GATEGOR~ .... ]' ,, <br />OCCUPANC <br /> <br />OSC~ANT LOAD <br /> <br /> NO OF BEDRODM~ <br /> <br />1909 <br /> <br />ON-SITE SENAGE <br /> <br />~ERHZT OR APFLICA: ON NO: 3222 <br /> <br />' },,RTER SUP!-%-Y: <br /> TEST }-.;O[.,,E:?, RE.AI:\":: <br /> SITE kT. VAL L;A- iSi"; NUP8 <br /> EXI'S?~.NG TAX}{ SiZE <br /> EX 7ST i:',K}~ DRAIN <br /> <br /> TH~S REE;Ei Pi' ' <br />Z~.,~ ORD:N~CES. THIS PE~ZT ~ALL BEdE NUL~:~D VOID. <br /> <br />R¢'M&RKS. LOk~ PRESSURE 7 .... ¢,~2572 <br /> <br />&,;',,¢..,,;, ~,. "' ..... MARION '' .... -' - <br /> <br />~o,m* ~c ~s.s~ n~v ~/a7 )FFICE COPY <br /> <br /> <br />