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MARION COUNTY BUILDING INSPECTION <br />S~=NATOR I~LDG. NO, 225 <br />220 HIGH STREET NE <br />~xALEM, OREGON 97301 <br /> <br /> · PHONE: 5~8-5147 8:00 - 4:30 <br />24 HOUR 'CODE-A4PHONE: 588-7904 <br /> <br />TYPE: Oh-SITE SEW~E <br /> <br />PERHIT OR APPL/CRTIQH <br /> <br />CONTR~CTOR~ NO. <br />~OOS)-EY~ ALLEN & KAY <br /> <br />PHONE= 7~9-324L <br /> <br />, ~5,5892 <br /> <br />WATER SUPPLY~ p~, · <br /> <br />TEST HOLES'READY. <br />~[TE EVRLUATION NUMBER: <br />EX~TING TANK SIZE: <br />EX~STING DRAIN FIELD LINES: <br />SEPTIC.TANK PUMPE~= <br />PREVIOUS HO. ~EDROOfl~: 2 <br /> <br /> ~UANTITY <br /> AHOUNT <br /> <br /> ~EC~VE~ 9Y~ cl : ' · .... ."'. ,",%-.', ~;:~:', :~';'-',':~:>.'"*~;~:'~'~,'":~ ,: 'T : K ' - <br /> <br />FDLL(JW~NG MUST ~E CDHPLETE~ ' I:T ~S :THE EE~PDNSIBI. E~TY Q~ ~HE APPLICANT TO ASBURE THAT <br />ALE RECES~Ey INFORMATIOH HAS ~E~. PRO~'i~E~..'.'.':.. ,' · <br /> <br />OFFICE COPY <br /> <br /> <br />