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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 S:O0- 4~0 <br />24 HOUR CODE-A-PHONE~ 588-7904 <br /> <br /> .8973 ~NAW SgUAE R9 SE" · <br />AUH$VILLE 'OR' 9732~. <br /> <br /> W~'TER SUPPLY: Pg <br /> TYPE: OH-SITE ~ . ~ <br /> TEST <br /> h~LES. RE~])Y: <br /> PF~HIT OE APPLICATION HO; ~826 ; SITE' EVALUATION <br /> EXISTING TANK <br /> CONTRACTOR. HO. 34916 · I. EXISTING DRAIN FIEL~ <br /> STAYTON SEPTIC , ~ . ~ ~ ~E~IC TAN~PU~PED: '. <br /> ST~YTON~ 97383 :~ <br /> PHONE= 769-23~2 4 · ?~,,: <br /> <br /> ZTEH :~] ~' QUaNTiTY ~HOUNT <br /> REPAIR ~ MAJOR ~ ....... <br /> <br /> ......... '.'" <br /> <br /> P~YEE; <br /> STaY,ON SEPTIC ~j <br /> ,~.,~?~,.~ .... :~: RECEIPT NO. 61:394 <br /> ~~~..-..~.-..::...,:~fz :,TYPE~ CK CHECK t= 15173 <br /> <br />ALL NECESSARY INFORMATiONal '' · '"' '~'". '..--' ~'' "~'~ ' <br /> ,. <br /> <br />OFFICE COPY <br /> <br /> <br />