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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG.. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; 588-5147 8;00 - 4:3,0 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />HA ~ NE.:~, ,JUL..[ U5 <br /> <br /> 135 BUI'fE Si N <br />kO l OR 9'7342 <br /> <br />POR]L. AND, OR 9f21.o, <br />PHONE: 2'35-0918 <br /> <br />HAIr, CON 0 <br /> <br />31 11 _ 1_ 10 <br /> 83 150 12~50. <br /> <br />PERM,if OR APP~ICAftr, DN NO; 33224 <br /> <br />K~ViN'~ ~ACKHOB SERVICE <br /> BOX 465 <br /> <br />SiTg NUIV~ER: 12980 <br /> VAL.UA'T[ON: <br />RANGE ...... ZOnE MA~ <br /> ~,,~ ~5 .... <br /> NO i NO <br /> <br />WATER .SUPPLY: <br />IE. ST HOL,~..~ R~OY: <br />SiTE ~VALUAT[ON NUIV~R: 32~15 <br />E×ISTiNG TA~K SIZE: <br />EXISTING 0P~iN FieLD LINE~ <br /> <br /> QUANT~¢Y <br />NE < 6 MON f'H5 OLD 1 <br /> <br />~OTALASSE~E~'FE~ <br />PREW[OUS RECEIPTS <br />THiS R&CEZPT <br /> <br />BALANCE OUE <br /> <br />~MOUNT <br /> <br /> $~0..OC <br /> $0.0V <br /> <br />CL.) <br /> <br /> ;¢AY~. iNVO1CB NO: <br /> ~¢;e[vem ~Y~ Pt¢ tyPE; CHECK ~: 0 <br /> <br /> Skf: Ar fAC~EO OOC~MEN'f' P'OR RE~UI~Ef4ENTS OF QN-SiTE SEWAGE '$YSTEN. <br />~ ~HZS iS A VAL[~ PER,lIT ~ TH[~ PE~[T ~IR~ 380 ~ F~ ~T~ I~E ~TE. IF <br />(%~ST~CTI~ FA/~ TO MEET ALL R~I~TS ~ STATE ~ ~0 ~Ri~ ~NTY BUILDING <br />Z~ING OROiN~O~, THIS ~IT ~ALL BEdE NULL ~D VOID. <br /> <br />R~fcPRKS; 5fANDARD SYSIEN-- 1NSfALL " <br /> <br />L)ONALU b, ~N~OOOLEY, MAR~ON $OUNIY 8U~L~IN80¢~,,~C~AL / BY <br /> <br />¢o~ ~ ~c ~-~ ~¥ ,,~o OFFICE COPY <br /> <br /> <br />