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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: 588-5147 8:00 - 4:30 <br />24 HOUR COD, E-A-PHONE: 588-7'904 <br /> <br />i UMSVILLE HWY <br />I AUMSVILLE <br />I$~'6~'~O,~' ~'"'"T ....... <br /> <br />I"~%~'i~ ~'~¥-~'~; ................. <br /> <br />[JSSE[.~AH, G, & H. ] 753el-l~e ~RESIDENTIAL, <br /> <br /> ~ALEH OR 97383 ~ITE ~M~= ~4-81911 <br /> PHONE= ~88-~399 I VALUATION= <br /> <br />TYPE~ ~-~ITE ~E ~ ~ WATER SUPPLY1 PW <br /> I I TEST HOLES READY= YES <br />PERHZT OR A~ZCAT~OH NO: ~a~2 I SITE EVALUATION NUMBER: <br /> : [ EXISTING TANK SIZE= <br /> i EXISTING DRA~N FIELD LINES-' <br /> <br />CO~TRACTOR. NO. <br />UiSSELMAN. G. & <br />3~15 STARE CT NE <br />SALEM S~ ~7383 <br />PHONE: 588-B~99 <br /> <br /> ITEM ~ll <br />SITE EVALUATION, FIRS~i <br /> <br />PAYEE: WILL~RD WA <br />RECEIVED BY. NB <br /> <br />SEEATTACHED DOCUMENT: <br /> <br /> SEPTIC TANK PUMPED: <br /> <br />.......... ~UANT~TY <br /> I $265.88 <br /> <br /> THIS DOES NOT <br />)NSTRIJCT'£ON PERMITS <br /> <br />$265.00 <br /> $0,0g <br />$265,00 <br /> <br />$0 u 00 <br /> <br />,RECEIPT NO= 57504 <br />TYPE=.CK CHECK 8: 3433 <br /> <br /> 4~,:THIS PARCEL. PLANNING AND <br />~Z.N[, ~I~,:.~:E, PTIC TN~TALLATI'LgN <br /> <br />PLAN REVIEW~ :ON: BY ......... DATE <br /> <br />~OF~,~ ~c ~-~. R~,. ,~ OF FIC E COPY <br /> <br /> <br />