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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97'301 <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 registered builder, <br /> <br />S[TLIS ADORES~'. , CONSTRUCTION TYPE: ; <br /> ~2{.x,'l I(~l/')'~ f..!q -- · CONTRACT CITY; ~ UGB. OCCUPANT LOAD. <br /> <br />PHONI:;: 7,'~9.--207=2 <br /> <br />SITE NI~t4BER: 94-93495 <br />VAI,.UAT]:ON: <br /> <br />PER~IT OR APPLICATION NO: <br />I. IN ~','4AL f'Ok,, <br /> <br />PrlOl'[~Z = <br /> <br />9057962 <br /> <br />WA. r._R ,;*JF FLY. :" W <br />'lEST HOLES READY'.' YES <br />ST. TE EVALUATI£1N <br />EXISTING TANK SIZE~ <br />EXISTING DRAIN F]'.EL~ <br />SE'.PT1C TANK PUHF'~D~ <br />PR~V]:OUS ,~0. <br /> <br />r AY~:t: ,; J~Ak[,t,,~ [,f' <br /> <br />RECEIPT <br /> <br />t'?EC~E,'(VI,i:O B'(: Jo ................................................................ TYPE: CK CHECK <br /> <br />FORM # MC 1 li.56 REV, 4/90 OFF ICE COPY <br /> <br /> <br />