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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
<br />
<br />,WIDTH:
<br />i ;~¢', 20,~ , ~":-~0i'6. ~F' ,,,,,_'""
<br />
<br />!,.OF:h, (~!:;;I::,[;ORY __~!4(,~:. ,~-:,¢,¢J~,~ , ...,,.I 1 ~ ....
<br />AUR(T~RA ['~R 97~(~2 MARION COUNTY NO
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<br /> ]3442 CR~'FER LAtJ:: CT
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<br /> FHDNE,.6'/:~ ..... ");4' '/.. : VALL,I~TZON:
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<br />TYPE: ON-S:~TE SEWAGE
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<br />PKRMZT OR APPLICATION
<br />
<br />M:ll" ~: ,¢ (:;)
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<br />587~&
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<br />TEST HOLES REAl)Y:
<br />SIl'£ EVALUATIOI,i
<br />EXISI'ZI'4(; TANK SIZE:
<br />
<br />SEPI' ~C i'ANK
<br />PREVIOUS NO.
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<br />TOTAL. ASSESSED
<br />PRE¥:.r. OUS RE:CE.~ PTS
<br />TI'liS RECE.d r
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<br />PiiA N T l'f'¥ ~ ~IL.~U N':"
<br />
<br />!J;255,,
<br /> $ 0 ,, i¢,
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<br />BALAHCE: DUE
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<br />P(IYEEr RECE!P'f
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<br /> ,:A,, h.l IAI,,t.h D Dor;JMEi, r F'OR ,.,;.Qurf ~,M~..Nf',~ OF Ot, l--SI')-i~ SE:WA'GE SYSTE~'.I.
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<br /> * THIS IS A YALZJD PERM[? ~ THIS PERMIT ~XPIR~S 36B I)A~S FROM ITS :ISSUE gATE. IF
<br />[:ON!~'I,%II;'~i;I. ff,I F¢'.f. LS TO ~EET ALL R¢~UiRf{MENT~, OF:SI'~TE LAWS AN'O ~ARiOu,,rX'L~' f"~ · ..... .... ,,] ~,. ,qx,,~.'
<br /> ",:-~H,~ S~'A., ~:FCOME hULl,,, ~!qI) VOl:D,,
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<br />, , . ,I ...¥ , ,.l.d O!]L!W¥'¥ BLI]:f_D]:N[; J,-, ,1AL / 1:fY
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<br />OFFICE COPY
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