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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:$0 <br /> <br />l a. ofeg,stered b. Hder 0~() the.uth~rized representative ,I~NA,U,E O. APPLICA~~ <br />I am per~ormm workona ro eft Io <br /> <br />T~rR will be performed by a regio, ered builder. <br /> of a registered budder ~ <br /> <br /> I have read and 8gree te the terms stated o~ the reverse side of ~ATE; <br /> this ¢¢~ument. <br /> <br />! O~ER'. (. TAX LOT CATEGORY: <br /> R E S :[ D I:-": N 'f' :f: A L <br /> <br /> ~:!t~l .~.~b~.[-.l FAI. L.~ t~Y ~C;E i CONTRACT CITY; ; UGEk !OCCUPANT LOAD: <br /> C,~ bNTY, NG <br />AUMSVIL. L.E OR 97325 ~ NAR;[t}N "" ' ' <br /> <br /> WALDO ~L.I..S FRUIT FARMS ,~;;~ <br /> <br /> 14 ~ 8S 49 <br /> AREA i UN T8 · ; RREG. LOT'. CORNER; <br />,wIorH: ID~PTR: 1 3;, I Al, i NO ~ NO <br /> <br />TYPE: ON-SITE <br /> <br />PER~iT OR APPLICATION <br /> <br />COI,III:?ICTOR., N!). 7:1. <br />Ken <br />P0 ." ');4 ~.~-41 <br />S,.. 1 _:~, 97¥07--0060 <br /> <br />WATCER SLiP~I,.,Y: PW <br />TES't HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />EXIST:£Ng TANK SZZE; <br />EX.STING DRA;~N FIE. L.D LINES: <br />SEPTIC TANK F'U~PED: <br />PREV~OLJS biO= <br /> <br />'.1 l'E:f4 QUANT:[T¥ Af4gUNT <br /> <br /> .J ....... <br /> F'REVIOL ~ RECEIPTS ~i~8,, ,Z~ <br /> <br /> I-Ilo g]l~.s ~*lf]r ERANT O~ IMPL,Y PERMISSION rO BUILD ON THIS FARt.,E,L. PI_ANNIF;;; AND <br />(. r ]hL.f. !ON. I..I,f If, MUS'F [4[- OBTA'N~:[~ BE'f"ORF' BU].I...D..,4G OR SbF']IC ZNS%~L..LAT.[ON B~":,'''st: <br /> <br />'O~,~ ~c t~-¢~ R~V. ~ OFFICE COPY <br /> <br /> <br />