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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO. 225
<br />220 i-~H S-TREET NE
<br /> SALEM, OF:fEGON 97301
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<br /> PHONE: 588-5147 8:00 - 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
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<br /> DATE;',: 06/24794 "f"i'HF; 1.4~.JEh;4? /
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<br />,,~,,os ~o.~::,~ :~ ~-'-''` > ;~ c~:.u~,o~ ~,~: ,' · occu~,~c~: '
<br /> 745B '" 5' /
<br /> ,~UH,.~ ,LJ I ' T ·
<br /> ,/
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<br />CREEK ~ARDI~NS
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<br />VAI..UATIOh)=
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<br />) LOT ; BLOCK: I SECTION:
<br />· , 26 "3S / 2W EFU
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<br /> TYPE: ON-SITE SEWAGE // WATER SUPPLY: F'W
<br /> /
<br /> fg,,,T HOLES READY= YES
<br /> PERHIT 'GR APPL[CATIQH NO= 9856~2 ,~],~E EVALUATIONNUMBEk'¢".
<br /> // EX].SFZ IG TANK SIZE:
<br /> LbdfRAC~OR.~ o.': .... NO.~ ,, r"36949 // EXISTIliG BRAIN FIEL~ L].lt
<br /> A.,A ,,El 1 ],C ,,,ER~..C~ SEPTI6 TANK
<br /> PO BOX 2081,1, PREVIOU~ NO.
<br /> ~AI,.EM~ 973~7 //
<br /> FHONE:)
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<br /> S~')'E ::VALIJA~JGd~ FIRSf' LO,T 1 $265.9~
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<br /> TOTAL ASSESSED FEES
<br /> , PREVIOUS RECEIPTS $8,, 88
<br /> THIS 'RECEIPT $265..
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<br /> ' ' BALANCE DOE $~,,
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<br /> ~ ~jY[;~...AAA .,~..l .l lC ...,[.RVICE REC,_.I F 1 , .0.,
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<br /> SEE AFTACHED DOCUMEN;)' FOR REQUIREMENTS roOF ON-SITE SEWAGE SYSTEM.
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<br />ONS'F'RIJCYFION FLRMI]S HLIST BE OBTAINED BEFORE BUIL. DIN~ OR SEP'f'IC II'tSTAI..LA'Y':[OI~t ocf-'rWq
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<br /> 1->i,,hH REV',i;/EW: BY ......................... [~A'TE ............................C];~Y JUE',[SDIC'TZDN= BY, ..................... 1)ATE .........................
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<br />FORM # MC 15,5~ REV, 4/,:10
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<br />OFFICECOPY
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