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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 performing work on a property I own or o¢oupy. <br />lamaregisteredbu~lderOR( )thesuthori~edrepresentative <br />of ~ r¢gistere¢ builder. <br />The work will be performed bY a registered builder. <br />Other. <br /> <br />this document, <br /> <br />..... '8~f~A6'r btm ;,OCCUPANT LOAD: <br /> <br />SITE NUH~E~: 74-01217 <br /> <br />TYPE-' ON-SITE SEI~AG£ <br /> <br />PERMIT OR ~PPLICAfION <br /> <br />~':'I.IrlNE: 769 '"7744 <br /> <br />~¥f?-'R SUPPLY: F'W <br />TEST HOLES REt, DY: <br /> <br />EXZSTlt,I[~ TANK <br />EXtST,1;,t*i6 );)F(~:i:N FIELD <br />SEJ::"f-TC TANK PUM?EI),~ BILL <br /> <br /> TOTAL AS~[;,~S~,~ <br /> <br /> ::, <br /> , <br /> <br />.0, .~M,,[[,,,]..~H ¢ ¢,,[L., TO MEET ~l.l.. I:~EQUIRENENTS OF ST~TE LAWS <br /> <br />OFFICE COPY <br /> <br /> <br />