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MARION COUNTY BUILDING INSPECTION <br />SENATOR ~LDG. NO. 2'~5 <br />220 HIGH .STREET NE <br /> SALEM, OREGON 9'7301 <br /> <br /> PHONE: 588-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-79o4 <br /> <br />............ -" ...................................................................... ~St~OIV SI~N: ....................... ~ <br /> <br /> P0 BOX 848 ---~"i~ ...................................... <br /> CAN3Y, OR 77013 I SITE NUMBER= 94-~4112 <br /> PHONE. 288-2792 ~ VALUATION: <br /> <br />TYPE= ON-"~ITE SE#A~E <br /> <br />PER~IT OR APPLICATION NO: <br /> <br />WATER SUPPLY= PW <br />TE~T HOLES READY: <br />S~TE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br /> <br /> CONTRACTOR. NO. ~g96~ x~ · ! EXISTING ORAIN FIELD L~NES~ <br /> BOB~S ~AC~HOE . .. ~ \,... ,...SEPTIC ~AHK'.PUMPED: <br /> 17004 ~RBOR GROVE R~ NEi'r~.~.~)\.~ PREVIOU~ NO. BE~ROOHg~ <br /> <br /> ,; ... :,,,~,'....i,..., ' · ,' .. <br /> "TOTALASSE~SE~ FEES <br /> <br /> PAYEE; BOB~S BACKHOE RECEZPT NO: 1661 <br /> ..................... ~ ............. . . , TYPE. CK 6H~CK - 5325 <br /> <br /> · THIS IS NOT A PERMIT; .THIS,~pp~ICATIOH"'HUST,'~O 'THROUGH .'~ ~VIEW PROCESS ~ <br />FOLLOWING MUST BE CO~RLETE~'.'..'IT,~'I~;~H8 '.RE~ONS~B,~TY:OF ~E APPLICANT TO A, ~ TNAT <br /> <br /> ~ _ ' ...... 6ITY' ~URISB'ICTION: <br /> <br />REMARKS: -~S: HJR~REPAIR RENEWAL FROM~ANCELATIO~ <br /> <br />OFFICE COPY <br /> <br /> <br />