MARION COUNTY BUILDING INSPECTION
<br /> SENATOR BLDG. NO.
<br /> 220 HIGH STREET NE
<br /> SALEM. OREGON 97301
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<br /> PHONE: 588-5147 8;00 - 4:30
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<br />have read *nd agree to the t*~m~ ~ ~te~'~'ih,"¢ev~r~e ~ de of ~ ~ ...... ~ ...............
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<br />PHONEs
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<br /> PARCEL 2 THE RANCH ·
<br /> $~TE N~N~E~t
<br />' VALUATION:
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<br /> l
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<br /> TYPEs ON-BITE SE~GE U~TEE SUPPLY: PW
<br /> .TEST ~LES EE~OY~ YES
<br /> ~R~ZT OR RPPL~CATZ~ NO~ 9a&ee~2 S~TE EVALUATZON flU~ER:
<br /> CONTRACTOR. NO. ~&415 ~l ~: EXZ~ING TANK SIZE. .
<br /> CHARLEY HES8 ~CKHOE ~ ~¢~ SEPTIC T~NK PUHPED:
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<br /> ITeM , ' '.. '. '-
<br /> SIT[ [V~LU~TION~ EA.' A~L..'EOT .., .... ', , , ~UANT~TT ~OUMT
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<br /> ' , '...' . '"PRE~[OUS;RECE?TS ,
<br /> , · .' .' ;,",:,~H~ -RECE~P,~ ?,,,',,-,:', .'
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<br /> PAYEE~ 9~RK[ JOHN .... ,,.,, ,. ' ............. ;,:?,,;,,.,~,,,',' ..... v ::','-' , RECEZPT NOl 62694
<br /> RECSIV~D ~Y. JS
<br /> ................ :::=::=:~==L:~:~-k=L~'4=~_~j_'~" '. ' = , ,, TYPE: CE CHECK 4: 1417
<br /> SEE ATTACHED ~OCU~EHT FOE:.EE~UZREHENTS"OF:',OH-S~TE...SEU~E 8~STEM.
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<br /> :..: .:.. '..-: ,..':...... :....: ...::.;..~.'.~.::. ::. '..; ;, '.'....:
<br /> ~OTE: TNZS DOE~ NOT ~RAHT'OE I~PLY. MI ....... ~"L" '
<br />0" ~ · , RER ~ION ~ ~UI[D ON THIS P~ECEL.
<br /> NS~RUCT[ON PBRH~TS ~UST.;~E 09Th~NE~,'~EFO~E' ~O~:E~ OR" SEP~TIC [NSTALLRTION
<br /> PLaN
<br /> REVIEW:
<br />~K~: s~: s~ ,~c~ ~' '~iVi~-'~'~L ~:~ '"" .........................
<br /> OFFICE COPY
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