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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR inspection Line: (503) 588-7904 <br /> <br />Per~xi.t type; Subsurface <br /> <br />INSPECTION REQUEST <br /> <br /> Site number: <br /> T~pe const: <br /> <br /> Activity: new <br /> <br /> Owner: [~AI~EE~ CHOCK <br /> Job address: 82~1 N.. SAN'IIAH HWY <br /> AUHSVILLE OR <br /> <br /> ~ -~al let. [,HU[,K BAKER <br />Scope of PerMit <br />SIANDARD ON-SIlK SYSTEH <br /> <br /> Received by: PB Route: I_G <br /> Date teE= 08/I~/75 Inspect on: 08/10/75 <br /> 'ri~e fmc: 8:02:5~ <br /> Energy Path: <br />Per,it ~: 57118 Setbacks <br />Category! RESIDENTIAL <br />Descr~p~ion~ --- RS: <br />Iss~le Date: 11/25/74 <br /> SP: <br /> Phone: 749.,,.207~ <br /> SE C~oss Street: N SANTIAN NWY <br /> <br /> Phone: <br />Number <br /> 1 <br /> <br />Permit requirements: RECEIVED STAKEOUT 10/25/?~ STAKEOUT RECONNENDED-94 <br /> 100~MIN FRO~ SPRING ANB WELLS <br />~oM~le~ts: <br />Last requested inspec'bion:~/~7/~5 Pr~cover~ <br /> '~ ~/v ) INSPECTION REPORT .._~_~ <br />Inspected By~ ~.~_~ Oate= <br /> <br /> <br />