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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLOG. 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: $88-7904 <br /> <br />I em a registered buiMer OR the authorized representative <br />of a registered builder, <br />The work wilt be ~erformed by a registered builder. <br />Other <br /> <br /> WOOD.. ~YNE <br /> <br /> i SE CONTRACT C~Y: ~ UGB; ~OCCUPANT LOAD: <br /> ~ At. HSVILLE OR ~7~25 ~ARION COUNTY ~HO <br /> <br /> SAME <br /> ~ SITE NUH~R; 94-~2224 <br /> PHONE: 749-22~ j VALUATION: <br /> <br />....... ,,, .................... .............. .... <br /> <br />TYPE: ON-SITE SEWAGE WATER SUPPLY: PW <br /> TEST HOLES READY: YES <br />PERMIT OR APPLICATION lOB: ~55~.~ SITE EVALUATION NUMBER: <br /> EXISTING TANK SIZE: <br />CONTRACTOR, NO. EXISTING DRAIN FIELD LINES~ <br />WOOD~ WAYNE <br />SAME <br /> PREVIOUS NO. BEDROOMS: <br />PHONE: 749-22~6 'i <br /> <br /> ITEM <br />SITE EVAL. UATION~ <br /> <br />PAYEE: <br />RECEIVED BY: DM <br />SEE: ATTACHED DOCUMENT ~0~ <br /> <br />WOTE: THIS DOES NOT <br />ONSTRUOTION PERMITS <br /> <br />~UANTITY AMOUNT <br /> <br />r: 1 $265.00 <br />ERS $265.00 <br />;il $0.00 <br />:: $0.00 <br /> <br /> :: RECEIPT NO: 0 <br /> i:i TYPE: CHECK ~: 0 <br /> S,Y~TEM. <br /> <br /> PARCEL. PLANNING AND <br /> SEPTIC INOTAL. LATION BEGINS, <br /> <br />F.MAEkS, SE, FE.,READY/MIMOR PAR~IfIONfNG W~LL NEED TO NAME S)REET. MA~AL~ FILTER PLUS FULL ~APPING::'~FILL:~YSTEM;: STAKEOUT RECOMMENDED. <br />DONAtI) E. WOODL. EY, MARION 60UNTY BUILDING OFFICIAL / BY ..,~,, <br /> <br />OFFICE COPY <br /> <br /> <br />