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MARION COUNTY BUILDING ..... ' ' :' ...~ <br /> INSPECTION ......... <br /> SENATOR BLDG. NO. 225 " <br /> <br /> .- "'~ "~ / 220 HIGH STRI:FT,NE <br /> SALEM, OREGON. 97301 <br /> <br />: .' ;'~ '. ......... ' ' PHONE:SSS-5147~ ~8;00'-:~.:30 <br />' ' :~" ...... "";": "" '~24'HOUR:COOE-A-PHONE; 588-7904 <br /> <br />, ~4) NTRACT CtTYt UGB! ' <br />~NAR IOfl COUNTY~ ' <br /> <br /> ~ ~":L ~n,. I~ <br /> 3015 STARi~ CT NE ~ - . <br /> SALEM OR 9?303 | SITE HUM~E. 94-~1912 <br /> PHONE: 588-~3~9 · ~, VALUATION~~ <br />~¥--'~--"'--~~' --T~ ~'~ ~.a~;; ~[zo~~~ <br /> <br />TYPE; ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION <br /> <br />C~NTRACTOR, <br />USSELMAN~ ~. & H~ <br />3015 STARE CT NE <br />SALE~ OR 973~3 <br />PHONE: 588-0~99 <br /> <br /> ITE~ <br />SITE EVALUATION~ <br /> <br />PAYEE:, <br />RECEIVED BY: PB <br /> <br />SEE AT'FACHE~ DOCUflE <br /> <br />WATER SUPPLY~ PW. <br />TEST HOLES READY. YE~ <br />SIZE EVALUATION NU~BE~= <br />EXISTING TANK S~ZE. <br />EXISTING DRAIN FIELD LINES: <br /> <br />QUANTITY AMOUNT <br /> 1 $225~oo <br /> <br />TYPE: CHECK ~: 0 <br /> <br />'STEM. <br /> <br />$22§.0~ <br />$225.00 <br /> <br />$0.00 <br /> <br /> THIS DOES MOT <br />OHSTRUCTION PERMITS <br /> <br />THIS PARCEL. PLANNING AND <br />FIC INSTALLATION BEGINS. <br /> <br /> <br />