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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588.5147 8;00 - 4;~0 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />have read and agree to lhe term,,',~i,~ie~ 6n me reverse side Of <br /> <br />DATE." 10/2~/93 TtN~." 9." 15= 25 <br /> <br />DATE; <br /> <br /> ~ .............................. . ................... !"~O'~$¥R~ION ?V~ :!OCCUPANCY: <br /> AUM~V~LLE OR <br /> <br />............................................................................................................... ~ .........~0' '~ .......... <br /> 2132 NATIONAL <br /> PHONE: 364-5458 ~ VALUATION: <br /> <br />T~'£= ON-SITE SEWAGE <br />PERMIT OR APPLICATION <br />CONTRACTOR. HO. 71161 <br />Ken Sch~altz <br /> <br />9851~85 <br /> <br /> , 1W I AR 48 <br />...... ! ,cT: <br /> <br />WATER SUPPLY= PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER~ 13389 <br />EXISTING TANK SIZE= <br />EXISTING DRA~N FIELD LINES~ <br />SEPTIC TANK PUMPED~ <br /> <br />PO Box 21888 PREVIOUS, ,N,O.. BEDROOMS: <br />PHONE: 588-1115 ::' <br /> <br />PRESSORE DISTRIBUTION ,4 ' , · " 1 $368.80 <br /> <br /> ~. · c ........... ~ ..... TYPED CK CHECK ~= ~72~ <br />SEE ATTACHED DOCU~MT :FOR RE~DJ~EMERT~..OF.'~N~.BJY~.:Sg~E BYBT[M. <br /> <br />r-c~ # .c ~ ~, ~ OFFICE COPY <br /> <br /> <br />