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MARION COUNTY BUILDING INSPECTION <br />S~NATOR SLOG. NO. 225 <br />~'20 HIGH EiTREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: ~-5147 8;00 - 4:30 <br />24 HOUR CODE-A-PHONE; 588-7904 <br /> <br />The work w~ll be performed bY a registered bu;lder. <br /> <br />5876 PLEASANTVIEW D~ NE <br />KEIZER OR 97303 <br />PHONE= 390-7872 <br /> <br />SiTE NUMBER.- 94-~8~722 <br />VALUATION= : <br /> <br />TYPE= ON-~ITE SEWAGE <br /> <br />PERMIT OR A~LICAT;ON NO: <br /> <br />CONTRAO~QR~ NO. 76421 <br />Ki~VIN~ ~ BACKHOE <br /> <br />~ETROIT~ <br />PHONE= <br /> <br /> t NO <br /> <br />WATER SUPPLY; CW <br />T~ST HOLEg READY: <br />SITE EVALUATION NUMBER: <br />EX~STIfl~ TANK $~ZE= <br />EXISTIN~ DRAIN F~EL~ L~NES: <br />~PT~C TANK PUMPED: <br />PREV'~DLB~.'NO¥;,'BEBROOHB= <br /> <br /> ITEH ... (~;JANTITY AHOUNT <br /> .... . .,', ,~ :,'_--..,"THIS'.'..RECEZP. T..'.,,:', <br /> <br /> o~,,. ATTACHED QOCUHEN~. ~OR, REQUIREMENTS OF..O~ SiTE ~EWAGE.. SYSTEM. <br /> <br />CONS"rRUCTION F~ILS 'tO HEET ALL RE~U~R[~ENT~.~F grATE .LAWS AND ~ARION COUNTY BUILDING <br />ZOHIN~ ORDINANCES, THIS PER~I~' ~NS.LL,'BECQ~E',NULL AN~'.' <br /> <br /> R[~',?~Af}KS; P~E~PE~HII' STAKgOUT:'REVI~U'3/9/94. BAS~CALLY .OKAY WtTN SOME R~I~r~N~L..Lt~I) <br /> MESSAGE FOR NA~Ob l'O APPLY AT CITY OF QETRiOIT.FOE INSTALL PERMITS <br /> D('i~ALI) E., ~OODL. EY, MARION COUNTY BL'ILDIHG'OFFICIAL /'BY ......................... ~ ........... <br /> <br />,~u ~ uo ~-,~ ney, ~ OFFICE COPY <br /> <br /> <br />