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MARION COUNTY BU{LDING INSPECTION <br /> SENATOR BLDG. NO. 225 <br /> 220 HtGH.,~TREET NE <br /> SAFEM, OREGON ~*$01 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P,M. - 8:00 A.M. <br /> <br />07/05/$7 <br /> <br />140 HUMBUG <br /> <br />9?342 <br /> <br />LOT: <br /> <br />WIOTH: <br /> <br />TYP~ 0N-S~TE SEWAGE <br /> <br />PgPT.41T OR APPL!CAT[¢~ NO: <br /> <br />CONT'RACTOR. NO_ <br />SHELTON, DAVID <br /> <br />NATF~ E~JPPLY= ON <br />TEST HOLES READY: <br />SITE ~ALUATICN NU,~.F~: 2787 <br />~IST~NG T~NK SIZE~ <br />~ISTIN~ D~IN FIELD LINES~ <br />SEPTIC T~NK ~MPEO: <br />P~I~8 NO, sEo~: <br /> <br />S~ < 6 ~ONTNS OLO <br /> <br /> '' PREVIOUS' RECEIPTS <br /> ,'*HIS RECEIPT <br /> <br /> 8A',_N,4CE <br /> <br />PAYEE: SHELTON, CAV~D INVOICE'NO= <br />RECEIVE0 BY: dm TYPE: IN CHECK :: <br />SEE. ATTACHED DOCLIM~T FOR SYSTPJ~i, <br /> <br />;~ THiS IS NOT A PFJ~)'Vi~T. 'J'HJ$ A REVIEW/ PROCE~,~ hHERE THE <br />FOLLOWING t,IUST BE COMPLETEB, THE APPLICANT TO AS:SURE THAT <br />ALL NEO~RY ~NPORMATION <br /> <br />AMOUNT <br /> <br />PLAN REVIEW; 8Y <br /> <br />RE~ARKS: - STANDARD SYSTEH <br /> <br />BY DATE <br /> <br /> <br />