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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: S88-$147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />[ em a fe~iSteced builder OR ( ) the authorized representative <br />of a registered builder. <br />The work will be pedormed I~y a registered builder. <br />I ~ave ~ead ~nd ~gree to the te~ms s~at~ o~ the ~eveme side of <br />this document. <br /> <br />ALLEN, KEN & BANDY <br /> <br />'Z927 ·STONE FIELD. <br /> <br />PHONE: 749-1B6;~ <br /> <br />TYPE:.ON-SlTE SEWAGE' <br />P£RHIT OR AP~I. IgATIO~I HO: <br /> <br />COHTRACTOR~ NO. <br />ALLEN~ KEN'& SANDY <br /> <br />PHONE~.749-1860 ~' ' <br /> <br />LOT; <br /> <br /> E:S]:DENTI'AL <br /> <br /> . <br /> <br /> VALUATION.' <br /> <br /> WATER SUPPLY~ PW. <br /> TEST HOLE8 REA9Y. <br /> ~ITE EVALUATION NUMBER; <br /> EXlSTIN~ ~RAI~ F~ELB LINES: <br />,' S[PTI~. TANK PUMPEB: 8-~1 <br /> <br /> ITEM <br />EXISTING SY~TEI4 EVA[. <br /> <br /> PAYEE: <br /> RECEIVED BY~ DN <br /> <br /> ~EE ATTACHED DOCUMENT, <br /> · THIS Z~ A VALID <br />CONDT~UCTION FAILS TO <br />ZOMIN~ OR~INAHCEG~ TNI~ <br /> <br />· '..x': .'~: QUANTITY AHO[JNT <br /> <br />$160.00 <br />$160.00 <br /> $0.00 <br /> <br /> EECEIPT NO: <br /> TYPE: CHECK ~: 0 <br /> YSTEH. <br /> J~l~oH ITS IS~,]UE DATE. IF <br /> MARION COUNTY BUTLDING AI<D <br /> <br />· .[~ <br /> <br /> I <br /> <br />~EHARK$: <br /> EXISTING <br /> / <br /> ~ '-'-' - -~Y~/~.~,-&.VAL~!,,,.., ?,_, . ..,,%. ..... ',, . ~"~ <br />~ONAL~ <br /> WOO~LEY, <br /> MARI~~ <br /> <br /> <br />