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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG- NO, 235 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; 5E~-5'147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> ~93 POETE~ RD SE ~ ....................... -, ,-. ..... <br /> AUMSVILLE OR 9732~ ~T~NTY ~a. ' ..... <br /> <br /> SAME ' <br /> PHONE~ 74e-2643 ~. ~ZTEVALUATION=~BEE= ~4-84=15 <br /> <br /> ON~TE <br /> WATER <br /> ~ TEST H~E$ READY: <br />PERNIT O~ APPLICATZGH ~: ~ ~ SITE EVALUATION <br /> i EX~ST~NG TANK SIZE: <br />CONTRACTOR, NO. ~ [XISTING ~AIN FIELB <br />WALLACE~ MINNET ; ~EPTtC TANK PUMPED= <br />SAME , .i P~EVIOUs. No. BEDROOMS: <br /> <br /> QUANTITY AMOUNT <br />ANNUAL EVAL. - T~MP OR H~SHP MH ...... <br /> <br />OFFICE COPY <br /> <br /> <br />