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MARfON COUNTY BUILDING INSPECTION <br />SENATOR OLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />PHONF: $88-5147 8:00- 4:30 <br /> <br />24 HOUR'CODE-A-PHONE: 588-7904 <br /> <br />have lead and agr~'~ to fhe ........ ' <br /> <br /> CONTACT: <br /> PHOHE: <br />................. ~OCK: <br /> <br />, i Z <br /> <br /> STAYTON SEPTIC <br /> <br />ST~YTON, ~7~83 <br />PHONE:,76?-2302 <br /> <br />~ WATE~ SUPPLY= PW <br />,I.TE~T HOLES READY~ <br />SITE EVALUATION NUH~ER: <br />'EXISTING TANK SIZE= 1500 <br /> <br /> "-PREVIOUS ~:"'EE~RGOH~= <br /> <br /> ,'~ OUANTITY AHOUHT <br />EXI~TTN~ SYSTEH EVA[ I $I6~.~ <br /> <br /> PAY[E: STAYTON SEPTI¢~ ~=~- , ~,~ !,! RECEIPT HO: 57V~ <br /> RECEIVE9 ~Y: PH ...... ~_ ~~~~:,~,~;~: :.~ TYPE: CK CHECK ~= 14~7~ <br /> ...... 7 ............. ~. ;, ?;~' ~-A .............................. <br /> <br />fiLL NECESSARY ~NFORMATI;ON, ~~:?L.}',,'/';..' :', ' ' <br /> <br /> PLAN REVIEW." BY ..... " '~'~ ~"' ~ .... ' ......... ' ........... · BY DATE <br /> <br />~o~ # ~c ~-~ n~v..~ OF FiCE COPY <br /> <br /> <br />