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MARION COUNTY BUILDING INSPECTIE <br /> SENATOR BLDG, NO.. 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />PHONE: 588-5147 8;00 - 4:30 <br />HOUR CODE-A-PHONE; 588-7904 <br /> <br />Other · <br /> <br />~ have resd and agree to the term¢ f~tated on thc revers~ sld(~ Of m <br /> <br />97214 <br /> <br />31 <br /> <br />tYPE: ON-Si I'E ~EWAGE <br /> <br />PERNIf OR APPLICATION NO~ 9033224 <br /> <br />OONfRACIOR, NO. 26421 <br />K~¥LN'5 BACKHOE SERV&CE <br />P-O, BOX &55 <br />D~IROII, OREGON 97342 <br /> <br />WATER SUPPLY: <br />TS~ST HOLE~ RF_ADY: <br />~ITE EVALUATION NU~ER~ 32315 <br />E]<iSTING lANK SIZE: <br />F.~JS'rING DRAIN FiEL0 LtNE~: <br />SEEI]IC T~ ~MPED: . <br /> <br /> SE < 8 MONFHS OLO ~,,,,,'"'~-~¢.,~>.~7' ¢~..,:..,. , "~ , , ~ 1 $110.00 <br /> <br /> ~-' . ..... ~RtS-~CE~ PT , $110.00 <br /> ~,- . ,~, , . ,.. <br /> <br /> 8~OE ~E $0.00 <br /> <br /> .EE: S ~=~, ~-~:;: .,~ ~.;,~ INVOICE NO: 35031 <br /> RECEIVED BY: PR ~' .TYPE~ IN ~ECK ~: 0 <br /> <br />_ THi~ IS NOT A PE~IT. ~ THi~F~I~.,~SI ";~: TH~ A R~i~ P~ ~ERE THE <br />~L~I~ ~ST 8E ~P~TED~,~:~-,.=~;,,,'='~[~IL!TY ~ THE APPLI~T TO ~RE THAT <br />ALL N~ IN~II~ ~,~e~ ':~i'~0~ ', ,', = <br /> <br /> RE~R~: ~'f'~DARD SYSI~. INSFALL <br /> <br /> <br />