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MARION COUNTY BUILDING INSPECTION <br />9ENAT(~R BLD'G NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-§147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> of s registered builder <br /> The work ~lll be performed by a registered builder <br /> Other <br /> <br />[)ATE: lfJ/10/90 ~iME: 14:05~45 <br /> ~gY. <br /> <br /> 74~8 ,~HERf,'~,N RD <br />AU~:>VI LL~ OR 9?325 <br /> <br />USE O¢ I~UILDING <br /> <br />MARION COUN FY NO <br /> <br />3 <br /> <br />~0~3 ¢.CALAROGA CT <br />W,t~.~f LiNN, O~ ~/0~8 <br />PHONE: 835-Z630 <br /> <br /> SiTE NU~ER: 11/127 <br /> VALUAT iON: <br /> <br />AC NO NO <br /> <br />~YPE: ON-~IT~ ~EWAGE <br /> <br />~Lkl'flJ7 OR APPLICATION NO: 902790/~j¢",~ <br />CONIRAcroR, NO, 55359 ~)(2~/~'~- <br />~ooz~ r.%~SFUCT~ON ~ ~ <br /> <br />~L~M, OR 97309 <br />~g: 581~4886 <br /> <br />~,TEN ~;UPPLY~ PW <br />TE~T HOL~ F!EADY~ <br />$~1IIE EVALUATION NtJtV~R: 6-2?-?7 <br />EXISTING TANK SIZE: <br />F_.,Xi~TiNG DRAIN F~ELD LiN~: <br />SEPTIC T~K PUMPED: <br />~I~ NO. 8ED~: <br /> <br /> lIEffi QUANflrY A~E~JNT <br /> <br /> TOTAL A3~E~$EO <br /> THI~ R~CEiPf' <br /> SAUCE ~E $0,,00 <br /> <br /> PAY~: ~Y, ~RK RECgtPf NO: 29~92 <br /> ~ECbIV~D ~Y: PR IYP~$ CK <br /> <br /> ~ THI~ [5 ~T A PE~iT. THiS APPLICATI~ <br />FOLL~JN6 ~ST BE ~ETED. JT IS THE R~[B[LiTY OF THE APPLIC~'f TO ~RE THAT <br />ALL NEC~ INF~Ti~ H~ BE~ <br /> <br />REMARF,~: 3~PTiC INSTALL - 3TNO F~'=3338 <br /> <br />CiTY JURISDiC'FiON: 8Y <br /> <br />OFF[CE COPY <br /> <br /> <br />