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MARION COUNTY BUILDING INSPFCTION <br />SENATOR BLDG. NO. 235 <br />2-'20 HIGH STF~EET NE <br /> SALEM, OREGON 97;301 <br /> <br /> PHONE: 588~5147 8;00- 4:30 <br />24 HOUR CODE-A;PHONE: 588-7904 <br /> <br />I am a registered builder OR { ) the authorized representative <br />of a registered builder, <br /> <br />AUM~VILL~ OR :~7325 ~R~0N COUNTY N~ ................ L ..... ~:-~f~b~,~, <br /> <br />CON?ACT: 76~23~2 SITE ~N~ER: ~4-~21~ <br />PHOH~: VALUATION: <br /> <br />TYPE: ON-SITE SEWAGE i WATER SUPPLY: <br /> TEST HOLES READY, YES <br />PERNZT OR APPLICATION NOc: ,~442 i SITE EVALUATION NU~BER~ <br /> EXISTING TANK SIZE. <br />CONTRACTOR, NO, 34916 , ~ EXISTING DRAIN FIELD LINE8: <br />STAYI'ON SEPTIC ~,.~.~:~,,~..~,,.~ ........ ~.,,.i,¥~E~I~.T~K.,p~pED <br />41155 STAYTON SCIO ~R ?~'".' :'"' ~ ............ . "'i'~R~'OQS NO~"BEBROOHS: <br />~TAYTOH~. 7738~ . ~:i ........ <br />PHONE: 767~2382 <br /> <br /> ~UAN?ITY AMOUNT <br /> ! $265.0~ <br /> <br /> ITEH ~ <br />SITE EVALUATION, FZRST,~L <br /> <br />PAYEE: ;: <br /> RECEIPT NO: <br />RECEIVED .BY: PB TYPE~ CHECK <br /> <br />SEE ATTACHED DOCUMENT <br /> <br />$265.00 <br />$265.00 <br /> $0,80 <br /> <br /> PARCEL. PLANNING AND <br /> ; INSTALLATION BEGINS, <br /> <br />r~F-MARK$, ,SE: lST LOT - ~R~ ~;~,~-23. ~flARG~L FOR T~W PA~T OP PARCEL <br />DONALD E. WOODI. EY, MARION ~UNTY BUILDING OFFICIAL /~~ <br /> <br />OFFICE COPY <br /> <br /> <br />