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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 /> of a registered builder, <br /> The work will be pedormed by a registered builder, <br /> Other <br /> <br /> DAT,":,: I?J 412 ~,l/? ~; .... I'i~.. ,, <br />;~W~ <br /> <br /> ............................................. <br /> <br /> ............................. <br /> <br /> KENNETH, A RAS~USSEN.j P.~J. 682-1422 <br /> F'O 35X 2~}9 'T'UALA'FIN~ OR <br /> <br />PERMIT OR APPLICATION NO-- ?046582 <br />CONTR~C TOR.,,, {,.liD.. <br /> <br />KEN?lB:TH, h F~5~USSEI, I, P,Ei &82--.{' <br />FO BOX 25~ TUAI_~TIN,~ OR' ~7~2 <br /> <br />W~TER SUPPLY <br />TEST HF_JL.E;,,S READY: <br />S:[TE EV~L. UAT3;ON I,IUH?~ER~I <br />EXISTING TANK SIZE: <br />EXIST~N{; DRAIN ;ZEi..D L:CNES: <br />SEF'T'.~C T~NK F'U~F:'ED: <br />PREVIOUS NO,. BEDROC3HS~ <br /> <br />AUltICI~,[ZA].CON NO,ICE - F'tELD VISIT <br /> <br /> l OIAL AoSE~oED F E.E.o .... ' <br /> P ~E. VtOUS IxE, CE].F <br /> <br />$160.~0 <br /> <br /> Y F E u ............. <br /> RECI;; 3. P I <br />RIi:CE:I:VE;O BY: CI_._ ....................................................................................... lTl-i:,, (.[,.{t:C,~x ~:: <br /> <br /> THIS IS NOT A PERMIT. THIS APPLICATION NUST GO THROUGH A REVIEW PROCESS WHERE THE <br /> <br />I::'l.hl',l 1,1 ¥.I.E.W l'.'y ........................ )Ar,:: .............................. C]:TY JURZSD:<C'I:[OJ,h: .~-:ly ............................ DA';,:... .... <br /> <br />.... ¢~A,..F... AUTHORIZAT'ION FOR BUI,,I~I)'J'NI¢~,FERHIT~, 8 44721 ST]:LL. PEHDiI,IG <br /> <br />~o~ # ~¢ ~s-~ Rev. 4/~o OF FICE COPY <br /> <br /> <br />