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MARION COUNTY.BUILDING INSPECTION <br />SENATOR BLDG. ND, 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 />The work will be performed by a registerer builder, <br /> <br /> , CATEGORY: <br /> ; 'r INT), M V J.!'; & ,' :' ,';,. , 2 !;7!~?-.0~C4 f,~ES.[!JENT '[ A!... <br />[~I'~LJ~ ~E)BR~8' 0'6~'~RUOTION TYP~:' OCCUPANCY, <br /> <br /> ,~'~ L ~ ~) ~ t. ~, ¢ i~D -- CONTRACT CITY'. . U~8~ OOCUPANT LOAD. <br />~O~'~P ~{~IN~ NO O~ BEDROOMS <br /> <br /> ? HONF; ,: "' '-'" '" <br /> 249 <br /> <br /> s~b~b-¢ .............. ~5¢~R~: ~ ...... <br /> LOT'. BLOOK; RAN6~ ..... )'ZB~: ' ........... MAr. <br /> <br /> D~ ............ "' <br /> <br />PE~H]'T OR AP?I,ICATZON NO~ ~058027 <br /> <br />WATi~:R SUPPLY." CW <br />'TF.',~'F dOLES REAI)Y: <br />SITE EVALJATION hitJNBER~ <br />~:XIS'FING l"ANx SIZE: <br />EfX1STIN~ DRAZN <br />SEF'T'~C TANK <br />PREVIOUS NO,, iIEDR~OMS~ <br /> <br />J:'ftiM E~UANT:I:T¥ Ai'!OUNT <br /> <br />f;]'TF.' CVALUAT:[ON¢ F.[H,~T .OT <br /> <br /> F F* - V ~,OUo RECEiF"TS $(~, [~r~f <br /> rl'l]:S RZCEIPT ~,.¢,¢,':" :" ,;)¢ <br /> <br /> BALANCE. DUE $8,, '," <br /> <br /> t I~O..CE N?:, _ . , ..... ~ <br /> <br />,.,F,E ATI'AL:HF;I¢ DOCU~EWf' FOR RE:EUIREMENTS OF ON-.S;~TE SEWAG,:. SYolEN. <br /> <br /> "¢~ "'" ~ ...... · ," <br /> <br /> .... ,..,:.., ........ ..,, . .................... <br />................... JU~.~ ~.L~, .~OH., TO( <br /> <br /> . <br /> <br /> OFFICE COPY <br /> <br /> <br />