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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 am e registered builder OR { ) the authorized representative <br />of a registered bdlder. <br />The work will be performed bY a registered builder. <br />Other,, <br /> <br />this document. <br /> <br /> 'T'EST HOLES READY: YES <br />PERMIT OR APPLICgT[SH NB: ~t~38 oI]b. EVALUATZbN NI.)HBER~ <br /> EXIST]:N(; TANK S:t:ZE: <br />CON'T'RACTOR~ NO,, EXIST:lNG Dr~A...N , .[T~.I...D <br />NYC~IJIST,, BARBARA & ER~ Eh , , <br />2~265 BUTTEVIt. LE ~ PREvIOLS NO. B:~RO~MS: <br />PHONE;: 678-,,55B7 ' ': <br /> <br /> 'I. TEM ,' ', :' QUAi4TII'Y AMOUNT <br /> <br />PAYEE~: RECEIPT NO~ <br />RECEi[VE~ BY: PB TYPE: CHECK q~: <br /> <br />SEE A~AgHED I)OGUMEfll ~C <br /> <br />NOTE:: 'fk,l,,,>""~ I)OE'S .... !qO'l ..... O~~ THZS FAkCI;;,L.'"' F:'LAIqNZNG <br /> <br />OFFICE COPY <br /> <br /> <br />