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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 />d~ a reglsterod builder,
<br />The work will be perrermed by a registered builder,
<br />Other ......
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<br />this document,
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<br /> CC I~ E ;4C ]:AL
<br /> TYPE;
<br />
<br /> 8724 (;OLF CLU)', R~ SE
<br />AU)ISVILLE OR 97525 ~?IARZOH COUNTY jNO ~ 64
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<br /> 8 BSX 398 S'f~YIOi% OR 773~3 ~ SITE NUMBER: ~4-e2992
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<br />TYPE: 0N-SITE SEWAGE WATER SOPPLY
<br /> TES'f HOLES READY:
<br />PERMIT OR APPLICATION ND: 9~57e12 SITE EVALUATION NUMBER: HO
<br /> EX;(STING TANK SIZE:
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<br />SAIIT]:~H ~SOL.F CI_,tJB I SEPTIC TA~K PUHI:'ED~
<br />EML:RY & SOI,[~. ~/ / [ PRE~IOUS NO,, BEDROOMS,;
<br />P )B]X ~98 ST~YT[N, O~ ~7~8~ ~/ ~/
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<br />SiTE EVAL., - FIRST 1880 GAL DSF' 1 $265,,~8
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<br />PAYf;%~ ,.M:.RY & ,'SOl, IS
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<br />$265,00
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<br />RECEIPT NS: ,~ %,~ ....
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<br />I.,~li:[;l:;],V[;,f BY,~ {:;L,_ .............................................................. TYPE: CK CHECK '~,, ],918S
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<br />SEE A'[TACHED DOC, U~IF~iNT FOR REQUIRSHENTS OF OI,I-~ITE SEWAGE SYSTEM.
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<br />IrO"fl:~, TH.ES DOE.!:, NOT GF, A?¥1" OR IMPLY ~ERHISSION TO BUILD ON THIS FARCE~ ;'.A IT ~ Ch }
<br />Mi.(T'RUSTIS~} ,;ERM.[TS ~I,J.ST I~:; OB'[~[Ig~D' B'E?OR~: ~UILD'~N6 DR J~EPTiC ~,;kSTALLA'T'ISN BEG]B~S,,
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<br /> ¢ ,hhdx,.. SE I'H':HO t. SNfAt, f BO.,L TO SET U¢"FSR ~IGGING OF FOLE, ~ (.,AN BE Nb~,l,] ,,,,D ON , (.h,
<br /> N'O'TCF., ()I':F']'CE LOCATED !DOWN THE ROA~ FROM ~[]LF CO[JRSE
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<br /> OFFICE COPY
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