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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, ORI::GON 97301 <br /> <br />Other , <br /> <br />this document, <br /> <br /> PHONE:588-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> TAX LOT: ~ ~Y~&6~V~ <br />..... H. 753~1-1~0 ~ RESIDEHTIAL, <br /> <br /> ~ AUMSVILLE HWY ' <br /> A~JMSVILI,.E OR ?~325 ~ARZON COUNTY~ NO <br /> <br /> WALDU HILLS <br /> ~8',1.5 STARR CT hie <br /> SALEM OR 7738~ :' ~ SITE ~H~ 94~81911 <br /> <br /> TYPE: ON-SITE SE~flGE I WATER SUPPLY: PW <br /> ] ~ TEST HOLES READY: YES <br /> PERMIT OR APPLZCATIOH NO: 9~55~32 I SITE EVALUATION NUMBER: <br /> : I EXISTING TANK ~IZE: <br /> ~ EXISTING ~RAIN FIELD LINES: <br /> ~ONTRACTQR. <br /> ~SELMAN. ~. & H. , ~ ~' /. ~ ~ SEPTIC TANK PUMPED: <br /> SALEM OR 973~3 ,;~- I / ',, <br /> <br /> SITE EVALUATION~ FIRSi <br /> <br />PAYEE: WILL,RD WA <br />RECEIVED BY. MB <br /> <br />SEEAT'rACHED DOCUHENT <br /> <br />NOTE~ THIS DOES MOT <br />OMs'rRUCTION PERMITS <br /> <br /> Pl.,AN REVIEW~ BY <br /> <br /> R~MARKS: SS:SE:TH:READY : <br /> <br />$26~;. 88 <br /> <br />$0.00 <br /> <br />,RECEIPT NO: 57504 <br />TYPE: CK CHECK ~: 54~3 <br /> <br />SYSTEM. <br /> <br />PARCEl .... PLANNING AND <br /> <br />,:p!NG, OI{:SEPT,T,C INSTALLATION BEGIN.~. <br /> <br /> BY ........... DATE ...................... <br /> <br />FORM # MC 15-5. nEV, 4/~0 OFFICE COPY <br />, <br /> <br /> <br />