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MARION COUNTY BUILDING INSPECTI,ON <br /> SEN ATOI:~IBLD.G~ NO. 225 <br /> 220 HIGH STREE¥ NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8::00 ¢ 4;30 <br />24 HOUR CODE-A-PHONE; $88-7~04 <br /> <br />of r~ regis[ered <br /> <br />Other. <br /> <br />5000 <br /> <br />NO: 90',S[59~9 <br /> <br />CON r~AC ~ON, <br /> <br />OEI ~0! f NO 2 <br /> <br />~NAT6R ,,~JPPLY= CN <br /> <br />S .f. TE NUIVC¢ ER = 14.944 <br />VALUA'r ICON; <br /> <br /> ZONE <br /> 5~ <br /> <br />"l~r HOLE,S <br />SiTE ¢VAL,UAT[QN NUiV~ER-_ <br />E_XfSTiNG TANK ~IZ~=.- <br />EXISTING DRAIN F'IELD LINE3: <br />~EPTIC fANE P~J~IP~'0:11-1f~91 <br /> <br /> EXI~} lNG 5YSF~.M ~VAL. RPF. 1 $110_00 <br /> <br /> PR~I~S RECEiPt'S $0, O0 <br /> 'rHt~ REC~iP'Y' ~ 110 0O <br /> <br /> ~A~CE ~JE $0.00 <br /> <br /> ?AY~t~ - <br /> REC~'iV~O BY: CL2 TYPE: IN ~ECK ~: 0 <br /> <br />~POL~ING ~T 8E ~PLETED. IT IS THE ~I~iL~TY OF ~E APPLZ~T TO ~ THAT <br />ALL NE~ JN~TI~ <br /> <br />PLAN R~V/EJ,',/.. ~Y ........... OA"t'E .......... , ...... <br />f~t¢:-M,O. RK'5: LOAN t4~¢0RI <br /> <br />(;IFY JURiSO[CIiON*. BY ........... (JAt'E ....... <br /> <br />OFFICE COPY <br /> <br /> <br />