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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br />~ALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />DATE= 09/14/87 TIME= 3:45=32p <br /> <br />SICNATURE OF APP~ICAN~ ......... <br /> DATE; ........... <br /> <br /> C~?~OOmY= <br /> <br /> OCCUPANCY: <br /> <br />SANE <br /> <br />PHCNE: 749-2419 <br /> <br />SITE NI.~ER: 2510 <br />VALUATION: <br /> <br />WIDYH: <br /> <br />9004553 <br /> <br />TYPE: ON-SITE SEWAEiE <br /> <br />PERNIT OR APPLZCATZON NO= <br /> <br />CONTRACTOR, NO. <br />NADSNO~TH, SCOTT <br /> <br />WATER EMPPLY= PN <br />TEST HOLE~ READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK$3~ZE= <br />EXISTING DRAIN FZELD LINES: <br />SEPTIC TANK PU~PED: 9-14-87 <br />PREVIOUS NO. BEDROOv~-* <br /> <br />PHONE** 749-2419 <br /> <br /> ~TEM.. · ~JANTI"FY <br /> .~THOR~TtCN NOi'J[C£ -. FED. ~VI~T ....... 1 ~T$65. O0 <br /> ~AL ~D' FF~ $65.00 <br /> · '" .:]..]'~' ~I~S~..~IP~ $0, O0 <br /> ,,~ ZS"',RECE[ PT ' $65.00 <br /> <br />R~R~ ~ '" ' <br /> <br />R~IDENTIAL <br /> <br />¢OR~ ,, MC,~,~ ,~v. ~? OFFICE (30PY <br /> <br /> <br />