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MARION COUNTY <br /> BUILDING INSPECTION <br />Senator Building · 220 High Street NB · Second Floor * Salem, Oregon 97301-3670 <br />Office Hours: 8100 - 4130 Phone: $88-5147 24 Hour Code-A-Phone; 588-7904 <br />INSPgCTION$ MUST BE REQUESTED BEFORg 7;(~0 A-M- <br /> <br />INSPECTION REGCJEST <br /> <br /> Permit type: Subsurface Rec~iveO by: ~xx Route: LG <br />Inecection type: Information only Date reo: I1/24/~ ln~t on: 11/24/92 <br />(Re/n~peot/~) TL~ r~: 12:55:24 <br /> <br /> Site nu~r: 92-03624 P~mit ~: ~43155 ~tbA~ ER: <br /> T~ oonSt: C~te~y: RESI~IAL LS: <br /> ~up~oy: ~r/pti~: ~- <br /> Activity: ~W I~ue Date: RR: <br /> <br /> ~ner: TH~RIEN, ~RY P~e: 74~2666 <br /> Job ad.ess: 7~ ST~ FIELD CT ~ Cr~ Strut: MILL CREEK RD <br /> AU~ILLE OR <br /> <br /> Installer: Phone: <br />Soope of Permit Number' <br />STANDARD ON-SITE SYSTEM l <br />Permit requirements: NEW SEPTIC SYSTEM - OLD SITE EVAL DOES NOT SHOW <br /> &oPROVED AREA - TEST HOLES READY 11-18-92 LG <br />Comments: REVIEW TEST PITS. OLD SITE EVALUATION DOES NOT SHC~ TEST SITE. <br />Last requested inspection: <br /> <br /> INSPECTION REPORT <br />lnspex~ted By: .................................................................................................................................... <br /> <br />Date: <br /> <br /> <br />