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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />;';20 HIGH STREET NE <br /> SALEM. OREGON 97301 <br /> PHONE: 588-5147 B:00 - 4:30 <br /> 24 HOUR ~CODE-A-PHONE: 588-7904, <br /> <br /> o a egistered bu der. <br /> <br /> MOI)D~RN ~U;~LDI~qG SYSTEMS., !NC j 6~I~'~9~ <br /> ' <br /> <br /> KENNETH A RASMUSSEN~ p.~ 48~-1422 i .................. <br /> F'O BOX 25e TU~LATIN~ O~ ~7~82 I ~TE <br /> <br /> ', .35. ~ AC NO t NO <br /> <br /> TYPE: ON-~ITE Sff~A~E ; WATER SUPPLY <br /> : TEST HOLS <br /> PERMIT OR APPLICATION HO: ~46~B2 SiTE EVALUATION NUH~ER: <br /> '[ EXISTtW~ TANK SIZE: <br /> CONTRACT{IR. NO,. '. <br /> , SEPT~O ~ANK <br /> PO i¢OX 25~ TUALATIN~ OR ~7B62 i <br /> PHONE= 74~-4~4~ ' ' :. <br /> <br /> ~TEH ..... '," ........ ~ .................................................. <br /> <br /> :.-'".' ,'i ",, :' '.'"-.'.THI'S-'RECEIP~' ,:' <br /> <br /> PAYEE: ":'"" '¢ '" '"'""::::"'""":"'; "~%~"~ ........ <br /> ~ECEIVED BY: CL :," , ' ,'"': - <br /> <br />FOL, LOWZhI~ MUST ~E , MP ~ - ': ' ''! :, ,, ,' .... ' .~ TH~O~H~R~ PROCESS ~HERE THE <br /> <br /> F:E:HARI(E, AUTHORIZATION..:.~O~ BU,~.,~i,DIN~ERM~.. ~.= 44~:1 ST~k PEND~N6 <br /> <br />Fo~ ~ Mc ~-~ REV. ,~0 OFFICE COPY <br /> <br /> <br />