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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 - 4:30 <br />24 HOUR CODE-A-PHONE: 588.7904 <br /> <br /> am s cegistered builder' O~ the avlhorized representative <br /> <br />Other ............ ' ~ <br /> <br /> 150 scOTT AVE <br />DETROIT OR <br /> <br />GAGATKO, 0C~ALD J. J' ................................................... i bCEut'^ucY: <br /> ......... ~.OE~ROi-T- ....... I ...... mo_. ......... ~. ........... <br /> <br /> PATTON ~.~[~ .6,.0DITiO~ <br /> P,O. BOX 577 <br /> OET~IT, OR 97342 ~ 51T~ NU~ER: 92~02120 <br /> ~ E: ; VALUAT [~: <br /> <br />'Wi.~.: ,,1/2 .,, : ........... 5 ...... ~ ........ A,., ' 1~ ................... ~-.? ~,,..'. <br />' 118 16~ 19234. SF i NOJ Y~ <br /> <br /> TYPE: ~-~[T6 S~AGE WATER ~PPLY: <br /> PE~JT OR APPLI~'rJ~ NO= 404~8 5[TE ~A~AT[~ NU~ERt <br /> ~ISTING T~K ~iZE; <br /> ~T~TOR, NO. 35421 '~iSTING D~iN FIELD LIN~: <br /> KE~IN'S ~AC~OE ~EPT[C T~K <br /> P 0 80X 465 ~ NO. <br /> <br /> i'T~ ~I'ITY ~NI' <br /> PE~iT R~EflAL - NO VISIT <br /> ;'TOTAL ~EO FE~ <br /> .;TH~$. RECEJPT : <br /> <br /> PAYEE:· ' ' · .. '. ." [N~jCE <br /> RECEIVED BY: ~ ~ ..'.'~, ..,, . .;~ TYPE:' ~ECK ~: 0 <br /> SEE AT'rA~EO ~T ~R.R~iR~TS OF ~SITE SENAGE <br /> ~ ~[8 1~ A VALID ~[T * ' ~S",~tT-~[' 380,~.E~. iTS I~E ~TE. <br /> ~T~CTI~ FAI~ TO ~f ,~ ~'I;~T8. OF STATE '~ ~D ~J~ ~N~ 8U/LDiNG <br /> Z~IN~ ~Di~C~. THis ~[T ~LL B~E ~LL ~O <br /> <br />REJVlARF~: SEPTIC REN[~AL <br /> <br />D~'~ALB E. ~DOOLE¥. MARION COUNTY BUILDING OFF'[CIAL / <br /> <br />:" OFFICE 00~¥ <br /> <br /> <br />