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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 I 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am ~ registered builder OR the authsrized represen stive <br />efa registered builder. <br /> <br />Other <br /> <br />this document, <br /> <br /> 22.5 S PATTON ST -- , ugh,. <br />DEI'ROI'r <br /> <br />1218 ~RD ST <br />STAYTON~ O~ ~738~ <br />PNONE~ 8~-3825~9 VAL~ <br /> <br />TYPE: ON-SITE <br /> <br />CW <br /> <br />CORNER; <br /> <br />PERN[T OR ~PPLICAT~ON NO: <br /> <br />CONTRACTOR, NO. <br />CLARK . KAREN <br />1218 ZRD ST <br />STAYTON~ OR ~7~8~ <br />PNON£: 800-3825609 <br /> <br /> h! NUMBER: <br />TANK SIZE: <br />DRAIN LINES: <br /> <br />BEDROOMS: <br /> <br /> ITEM i QUANTITY AMOUNT <br /> EXISTING SYSTEM EV <br /> <br /> $160.00 <br /> <br /> RECEIVED ~Y= c[ ~ TYPE: CHECK ~: ~ <br /> 9YSTEH. <br />* THIS IS A VALID FROH ITS ISSUE DATE. ~F <br />COHSTRUCTION FA[L~ TO ~A~E HA~ON COUNTY 9U~L~N~ AN~ <br />ZONING ORDINANCES, TH~S .' <br /> <br />Rir_HARK$. ESE PF 14 c/;~'/EA~EME~ ATTACHED. NEEDh:AIZ~ PER~IF & TEST PITS. <br /> DENIED - ALTERAT~.ON PERM'~T :N~EDED',~::',,,9~ DAY:~HOLD FOR TH <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />ESE <br /> <br />~ORM # MO 15-5~ REV, 4/:~Q OFF:ICE COPY <br /> <br /> <br />