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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM= OREGON 97301 <br /> <br />The work will be per:formed bya registered build'er <br /> <br />I have read and agree to the terms s~ated on the reverse side of <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE;A~PHONE: 588-7904 <br /> <br /> IWNER POPLIN, .J.L. ~ RESI DE~T IAL <br /> <br /> 11485 NCCL. ELLAN LN , ~ ,.~4-.-~~-'"~,CONTRACT .............. CiTY ~ 'l ............................ UGB 'OCCUPANT LOAD i <br /> AUMSVILLE OR 9?325 ~-"', ' ' ; } <br /> <br />......... ~ ............................................ 3 : ~ <br />u*,u~e ~D~.ESS r~TE¢~%~ , <br /> <br /> ~E: 769~2207 ~ SiTE NU~6R: 1~062 <br /> ~ VALUAT ~: <br /> <br />' I ~ 13 } 9S [ 2N : AR ~2 <br />~10T~ ' DEPTH C AREA UNITS ~ IRREG LOT CQ~N~R <br />~ ~oo] ~o ~ooo. SF ~ NO ~. NO <br /> <br />TYPE: ON-SiiE SEWAGE <br /> <br />PER,,f, [ OF: APPLICAflON <br /> <br />CONTRAC fOR, NO. <br />POPLIN, J.L. <br /> <br />PHONE: 769-2207 <br /> <br />9052440 <br /> <br />WA]ER ,'F;4JPPLY: PN <br />T~.~Ir HOLES READY: <br />317~ ~ALUAIION NUtCC~ER: <br />F_,~ISTING TANK <br />~iSTiNG D~iN FIELD L~N~: <br />SEPTIC T~K ~MPED; <br />PR~I~S NO. 8EO~: <br /> <br /> ALFERAfiON / ' , 1 $145.00 <br /> <br /> I ':IPr~II~S RECEIPTS $0.oo <br />  ,.-THIS RECEIPT - <br /> <br /> PAYEE: ~PLJN, J.L. '" ,, ' :' ": REO[iP] NO: 3422? <br /> RECEIVED BY: pe ,, TYPE: CK ~CK ~: 1458 <br /> <br />FOLDING ~ST BE ~PL~+.' 'IT ~S 'THE' ~]B]LJfl OF ~E ~PLJ~T TO ~RE THAT <br /> <br /> P~ REM~E~: BY ...... DATE CiTY JURJSD1CTt~: BY DAlE ............. <br /> <br /> R~R~: REP~CB EXISIING SEPTIC 8YST~ ~68~1 <br /> <br />OFFICE COPY <br /> <br /> <br />