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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />';'20 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 />I am pedo~ning work on a property own or occupy. <br />I am ~ registered builder OR { ) the authorize~ representative <br /> <br />JESKEY~ G~RALD & KAIHRYN ~1].674~ jRE~iDEHTIAL <br /> <br /> 2 <br /> .... SUBDIVISION; <br /> <br /> VhLUAT[ON: <br /> <br />TYPE~ OM-5ITE SE~E WATER SUPPLY: CW <br /> ,TEST HOLE~ READY~ <br />PERHZT ~ APPLZ~T[Ofl NO: 566~ SITE EVALUATION NUHBER: <br /> EXlS'rlN~ TANK SIZE: 588 <br />CQNTRACTOR. NO. EXISTING ~EAIN FIELD LINES: <br />JESKEY~ GERALD & KA'[~RY~ · '~.' ' ; · ~. SEPTIC TANK PUMPED: 7-11-B4 <br /> <br />AURORA~ OR ~7~62 ~7 · I '," . . <br />PHONE= ~78-1472 <br /> <br />AUTHOEIZATZON NOTICE ~ "" .... ' ...... <br /> <br /> PAYEE: <br /> RECEIVEP BY: DM <br /> <br /> SEE ATTACHED DOCUHEN~ <br /> <br /> ~ THIS IS A VALID <br />COMSTRUCTION FAILS <br />ZONIN~ ORDINANCES, <br /> <br /> INVOICE ND: <br />TYPE: CHECK ~: 0 <br /> <br /> ITS ISSUE DATE. <br /> <br />$160. B0 <br />$160.08 <br /> <br />IF <br /> <br />$0.80 <br /> <br />NARION COUNTY BUILDING AN~ <br /> <br />I. <br /> <br />OFFICE COPY <br /> <br /> <br />