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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO, 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 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 /> of a registered builder,
<br /> Thewo kw bepe emedbyaregseredbuilder.
<br /> Other
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<br />; 0wNERi TAX LOT:
<br /> ~ ..... , R E S ;[ D E N T :[ A [.
<br />~ f,kf bi F,,:, KEV:I:N 48384527
<br />,'SiftS8 AdbRESS; ~ CONSTRUCTION T~PE: I ~CG(~PANCY:
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<br />i :L3t82 MURRAY LANE NE ¢85~A~'~iT~: ¢ O'GB; ~OccuPANT
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<br /> 11654 flUNTIN~ LN
<br /> AUROt:~A, OR . ~7B~2 SITE NUMBER: ~4-ae65~
<br /> ', ~F ~: ~78---22~.9 : VALUATION:
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<br />f'66f; I'~'b~Ei, ~ ~f~d~; ............. ,~¢~¢~Wi'~ ~W¢~:' .......... , zo~: M~
<br /> ]1i 4S IN '. AR
<br />~'~ ~ ~ f~ j'~j~ ' m~EO. LOT;
<br />i ; I 2,,7 : AC ' NO
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<br />TYPE: OH-SITE SEWAGE
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<br />PERl'tlf OR APPLICATION
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<br />CONI'R~'~C 'r Of!., I,lO.
<br />Kil:~: 212 Fi:, E'R,
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<br />FHOHE= 678-,,2271, 9
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<br />WATFR SUI'~'I::'LY~ PW
<br />TEST I-IOLES READY:
<br />Si(TI-'- EVALUAT',£ON NUH)~ER: 13796
<br />E'XZST~I,IC, TANK SIZE:
<br />EX.I:S'flN6 DRA:I:N FIELD L]:NES~
<br />SEPTIC TANK PUHPE~:
<br />PREVIOUS F~O.
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<br /> :[TEN [;iUANT Z TY AM~.~La I ~
<br /> S"/'hNDAi:~:]) ON'-SITE . Y,~,T..II 1 !i~255,.
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<br /> tOTAL A,;,SEo,,E~) FEES
<br /> PREVIOUS RECEIPTS ~1~255,.
<br /> TH.iS RE. CE.d T
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<br /> ~A~AF .E ~UE
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<br /> PAYEE: RECE:H::'T
<br /> '[ .... ' TYPE: [,,I,,; ~CK ~:
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<br /> SEE Al [A.,HE~) DOCUMENT FOR RE~U~'E~EN'rS OF ON;SITE SEWAGE SY,~TEH.
<br /> * THIS IS A VALI~ PERMIT THIS ~RMIT EXPIRES ~8 ~AY8 FROM ITS iSSUE ~ATE. IF
<br />C, OH,f','RUCTZOI~ FAILS TO HEET :ALL ~EC[UIREHENTS ~F STATE LAWS AND HAI~'.(ON COUNTY EC¢IL,[)];h:'5
<br />ZON]:N6 URD,I. IIAIILL;,,% lH,I.o F'ER~IT SHALL 8ECOHE ~IULL AND
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<br />I'~KHARKS~ STD SYS'I'EH
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<br />I)ONA[...I) E:,. b~OO~r)L. CY,, MAR'(Oi,! COUI'!TY i'~U:[t_.D:[N[; ,gFF':i:CIAL / BY
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<br />OFFICE COPY
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