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MAI{ION COUNTY BUILDING iNSPECTION <br />SENATOR BLDG. NO,, 225 <br />~-~0 NIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M_ - 8,:00 <br /> <br /> DATE: 04/01/~8 T~[ME: 9;50 ~49e <br />OWNS. LARE&Xq, <br /> <br /> 11576 I~LELLAN LANE <br />AUM~V~LLE OR <br /> <br />97325 <br /> <br />SAME <br /> <br />PHONE: 789-7169 <br /> <br /> 1 03 <br />~IST. 60 o~ 120 A.E* 7200,00 :UNfTS <br /> <br /> TTEN <br />AUTHORIZATION NOTICE - FLO. VISit <br /> <br /> T,~x Lo'r 75440-1~ ¢.~3'~o~¥ ~SI DENTIAt <br /> <br /> CONSTRUCTION TYPE ~GCUpA~:~ <br /> <br />MARION ~ ~ ~ <br /> <br />~EST 5TAYTON <br /> <br /> 4040 <br /> <br /> A~ <br />CO~N~ <br /> <br />S'rTE Nur419ER = <br /> VALUATION <br /> <br />PAYE~: LARE~ON, BYRC~ <br />RSCEIVEO BY= pb <br /> <br /> 9s 2~ <br /> SF I.~ ~OT NO <br /> <br />NATER SUPPLY: PH <br />TEST HOLES R~DY: <br />SZTE EVALUATiON NUIvlB~R: <br />~EX~$T~NG TANK $~Z~: <br /> ~$T~NG DRA~N FIELD L~NE..~: <br />SEPTI~ TANK F"dNPEO: N~Lg BRING <br />PR~VZOU5 NO. SEOR'0ON~; <br /> <br />ALL NECESSARY ~NFORMATION HAS BEEN-PROVI~D, <br /> <br />CITY JURiSDICTiON*. BY..~ ..... ~AT~ ..... <br /> <br /> <br />