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MARION COUNTY BUILDING iNSPECTION <br /> SENATOR I~LDG. NO. 225 <br /> ~20 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />,, 24 HOUR CODE-A-PHONE; 588-7904 <br /> <br />GOFF, ~;REI;ORY ! RES:~DENTI~L <br /> AURORA OE 97~B2 BARI~ COUNTY ~g <br /> <br /> PHONE: &78-237~~ ~I~ V~LUATIDN~ <br /> <br />TYPE= ON.-S[TE SEM~4;;E <br /> <br />PER~ZT ~ APPLICATION HO= <br /> <br />GOFF. ~E~ORY <br />1~442 CRATER LAKE CT <br />AURORA, <br />PHONE= 678-237! <br /> <br />~ATER 9UPPLY: PW <br />TEST HOLE8 READY= <br />~ZTE EVALUATION NUMD£R: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPE~: <br /> <br /> RECEIVED DY: MB ...... '' m ', ' ,, · TYPE. CK CHECN e: 1472 <br /> <br />FOLLOW]NG MUST SE COMPL~T:E~', ET 19 ~HE.'~ESPON~I~ILITY, OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORMA~ION HA~,..~EEN':,PROVI~ED'..'..,::. ", <br /> <br /> PLAH REVIEW; ~Y ~'. ~E 2-"'iC~TY','JURISD~CTIUN= BY ........ ~ATE <br /> <br />OFFICE COPy <br /> <br /> <br />