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MARION COUNTY F~UILDING 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 />$1GNATUR~ OF A;ePLICANT: ......................... <br /> <br /> ! , <br /> ~OCCV~ANT <br /> OR ~7~2~ IHARI[IN COUNTY LNO <br /> <br /> . <br /> ~69~5~.28 W~ . + SITE ~MB~: 94-e193~ <br /> L F HONE. 769-4272 .......... ~ VALUAI'ION: <br /> ~¥< l~c~ ................... ~r~rv~, ....... [,s~n'~ ........... ~'~; ........ ri~: ................ ~'~.. <br /> <br />_ u_.:; ......... ~.._.t ................... x~__.~.~_~ ....................... L.~ .............. ~_~.r~ .............. <br /> <br />TYPE: 0N-SITE SEWAGE <br /> <br />PEt~;HII' OR APPLICATION NO: <br /> <br />CONTRA~,TOR, ND. <br />~IHERAL, GORDON <br />~ANE <br />769-5128 WK <br />PHONE: 769-4272 <br /> <br /> WATER SUPPLY: PW <br /> TEST HOLES READY: <br /> ~88~ SITE ~VALUAT~ON NUMBER: <br /> EXISTING TANK ~Ze. ~,000 <br /> EXISTING DRAIN FIELD LII,IE~: <br /><.,~:.~:',:..'.:.:,'..'~..:...',.'.:..~',..SEB,~g.:.IANK..PUHPE~: <br /> .; PREVIOUS NO. BEDROOHS: <br /> <br />$0.00 <br /> <br />AUTHORIZATIOH HO~ICE ..... : I I ..... <br /> <br /> :FEes <br /> · ;~: E let S. <br /> <br />PAYEE: RECETPT NO: <br />RECEIVED BY: i.?:.,,,L?,::".i ~.: TYPE: CiNECK ~; 0 <br /> <br />SEF ATTACHED 90CUHE;~Fr <br /> <br /> D/~TE, IF <br /> <br />RENARKS: NO-VISIT I'II' I ' <br /> <br />I)ONALD E. WOODI_Ey~ MARION COUNT, Y BUILI~ING OFFIOIAL / BY <br /> <br /> THIS IS A VALID <br />COHSTRUCTION FAILS 'TO HEEl <br />ZONZN(; ORDIHANCES~ THIS <br /> <br />OFFICE COPY <br /> <br /> <br />