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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLDG. NO. 2;)-5 <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 a registered builder OR the &uthorized representative <br />of a registered builder. <br />The work will be gerformed by a registered builder, <br />Other ,, <br /> <br />R'IL, <br /> <br />DAL.I:?Y~F'LE~ RI)SS R 54(~22--9151 ] RL-'JSIDEN'r'][AL <br /> <br /> ~ 44~5 ~A?¢:'] CT ,,'~E ~5~k~'~i~ ........ F~d~F ~b'~ff"~d~6'; ........... <br />~gi'&~J~ ......................................................................................................................................... <br /> <br /> BEAVE:RTON DR 97~W5 ~TE HU~BER: 94-~112 J <br /> PHONE: 644-58~7 VALUATION: <br /> <br /> TYPE: ON-SITE SEWAGE WATER SUPPLY: CW <br /> TEST HOLES READY: <br /> PERi, IT B~ APgLICATtON NO: 52~ SZTE EVAL,UATION NLJ~I'q-'"- <br /> EXIS'/:[NG 'TANK SIZE, <br /> CONTRACTgR~ NO. 4~25:t EXISTIN(~ DRAIN FIELI) LINES:: <br /> <br /> 14eTe SW Hart Rd ,:;:; "PREVIOUS 'NO. BEDF~O0~S,.: <br /> Behaver ton~ <br /> PHONE: 644:-52~17 <br /> <br /> ITEM ; .... [: QUANTITY <br /> STANI)ARD Olq"-S:iTIE SYS' :L "":"-'"= <br /> <br /> $ 2 <br /> <br /> PAYEE: ¢:i ' IlqVOIC;E <br /> <br />,SEE ATTACHEb DOCUMENT ~YS'TEM. <br />~ THIS IS A V~LiD ~RO~ ~TO ISSUE ~ATE. <br />CONSTI~UCTION FA3:t.,S TO: ID MAR:ION CouIqTY BU:[I._D:rNI; <br />ZON:[NG ORDINANCES, THIShFE <br /> <br />FORM # MC 1 $-5~ REV, 4~/9~ OFFICE COPY <br /> <br /> <br />