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zomng Vall -dadt~: - ! <br /> <br />MAR3~ON COUNTY BUILDING INSPECTION <br /> 220 High Street NE <br /> <br /> ,~ ~ Sale. m, OR 97501 <br /> lb00 am- 4:~tOp~a ghoa~ 588-5147 <br /> FAX $$8-7945 <br /> <br />SITE IbWALUATION AND/OR SEPTIC PERMIT APPLICATION <br /> <br />Phone <br />~-o~ S~ <br /> <br />Permit Reuow~.,,.~lo Field Vlsi <br /> <br />Au~hodzafion Notic~ (Field Vhi0 <br />Authofz.~ion Notice (No field vi.dO <br />E. xi~ing .qyaem Evaltmtion <br /> <br />~raial Sewage Flow) <br />CDSl~-Dai}y <br />Countm~on & Rear <br />{~}~d;~rd Sy, q/~m ~ than t~,,,gd. DSF; <br />~I~ D~wat~[i~ Syslem 280.~ <br />Has Review <br />(cx¢=~ S~D FILTHS) <br />For each a~ifio~l~ 5~ ~. DSF 20.~ .~' <br />Cm~skucQon ~rmit ~new~ (Fi~la ~ai~) 120.ffi 10,~ <br />Consm~ctkm P~.fit Re~*w~ ~o Field Vi~ia) 70,~ <br />Anmml Eva~m ~ ~c $~lon) 75,~ 19.~ <br />Pum~r 'I'g ck In~c6on, ~a. Mdl ~ck 3~,~ <br /> <br />(Mark ;f Applicable )o Ibls Applic~nfiot0 <br />) l will call when 'l'~t lqcl~ Dug <br /> <br />( ) O~her <br /> <br /> <br />