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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 />registered builder, <br /> <br />CONSTRUC¥10N TYPE: <br /> <br />; OCCUPANCY: <br /> <br />',-~'(~'l~,6;r 61TYi i '0(~: ...... : 6~¢OPANT LOAD: <br />.Ak.., N I,,~ ~,,rll Y iN0 <br /> <br /> SITE NU~ER: 94-0~49~ <br /> F'H ON k'.' 74 %.-2r/I79 ', VAI_UAT ]:ON:: <br /> <br /> ;BLOCK: ]SECTION: ;TOWNSHIP; ~'~N'G~:~ <br />........................ ~ ............................................... ~:'?:L..;., ~0. ..................... t.~x .......................... ~q .......... <br /> <br /> TEoT HOLEo RI=~(. YES <br /> PERMIT 8R ~PPL~g~TION NOra 9~57~6~ ST'FE EVPJ,,,U~T~:01,~ NUH~ER~ <br /> EXISTIN5 T~NK <br /> <br /> iq~f(J;.'R,, CI-~LI[;I< SE:PT~C TANK <br /> ~-:.~,%% ~ PREVZOUS NO, BE3ROO~S: <br /> <br /> ~Y '[ R M Q U A N T ii T Y <br /> S'[TE EV~LUi¥1"[0N~ ;Z~. AODL, L. 0f :i. <br /> <br />E~L,qNCE DUE <br /> <br />AH0tCN'"' <br /> <br />ECRM # MC 15-56 REV. 4/90 OFFICE COPY <br /> <br /> <br />