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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLOC, NO. 225 <br /> 220 HIGH STREET NE <br />~ ' I" SALEM. OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 <br />24 HOUR CODE-A-PHONE: 588-7'904 <br /> <br /> ~ CONTRACT CITY; "' '~' <br /> <br /> SITE ,NUHS~: <br />PHONE: ~ VALUAT;0N~ <br /> <br />TYPE: 0N-SITE SEW6~E <br /> <br />PER~IT OR APPLiCaTION NO= 4~aZ& <br /> <br />CONTRACTOR, HO. <br /> <br />PHONE: <br /> <br />WATER SUPPLY <br />TEST HOLES READY: NO <br />SITE EVALUATION NUHBER: <br />EXISTING TANK SIZE: <br />EX~STiNG DRAIN FIELD .L~NES= <br />SEPTIC-TANK'PUMPED: <br />PREVIOUS NO. BEDROONS= <br /> <br /> ITEM . ,, QUANTITY AMOUNT <br /> REPAIR - MAJOR · ! .~ 1 $12,%00 <br /> ' :: ~."}'" TOTAL 'AS'~ESS£~-.'FEES $12~. 00 <br /> ,'...:.~...'..., .~, ,~,, . .PREV~0'US: ~CE~:TS,,' <br /> RECEIVED ~Y. CL ........... ~',"~..'~ ...... ~,~,';-~,~"~, ........... ~ TYPE: ~r~ *. <br /> <br />C~NST~UCTSON F~LS TO NEET,-AE,E,, REQU~RE~E~S. OF'ST~T,E L~SAND ~AR[ON COUNTY 9U~LD[N~ <br /> <br /> REHARK8~ RPR:MAJ.~ OKAY FO~ STAND.REPAIR. NEED STakEOUT AND DETAILE'~P/F'.9/1S. M~T <br /> CHARLIE HESS B/3e/~3. HE WILL STAKE-'.AND 8U~HIT DETAILE9 P/F*[~ ~ <br /> DONAL~ E. WOO~LEY, MARION COUNTY ~[L~ING OFFICIAL / 'BY ......... ~ <br /> <br />OFFICE bOPY <br /> <br /> <br />