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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />250 HIGH STRt=ET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8'00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />t am a registered butlder On { ) the authorized reoresentative <br />O~her <br /> <br />] CONLEY, MIKE i 556~60-B80 RESTDENT~AL <br /> AUHSVILLE OR 97~25 I MARION COUNTY <br /> <br /> ~II,,,VER'FON, OR ~7781 SITE NU~E~: 94-~8298 <br /> FNONE: 87:4'-t Z?9 VALUAT~ON~ <br /> <br />_L_ 17. ~ AC NO J NO <br /> <br />TYPE: OH-S%TE SEWAGE <br /> <br />PERMIT OR APPLICRTZON NO= 54049 <br /> <br />TS~ EXCAVATION [NO <br />~6~ 8ILVERTON <br />SILVERTON~ ?7386 <br />PHONE: 87~-30~0 <br /> <br /> WATER SUPPLY= PW <br /> TEST HALES READY= <br /> $~TE EVALUATION NUMBER: <br /> EX~TING TANK SIZE= 1888 <br /> EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />~"P~EVIOOS 'MO. BEDROOMS: <br /> <br />'?:;:~'iL':,.':.,, ,',,~,-,:,~., ,:,',,,:%.' ' '< R~CE~PT <br />~=~'~-'=~v' ""~ ..... TYl E. CHECK ~. <br /> <br />,.,...,,,- -TS~ 8~:ON~S,['~E', ::~EW~'G E '"'SYSTEH. <br />~.,'~-~'.~8'.'~S:'..FRON ITS I~U[ DATE. IF <br />~ER~St~.'~E:'-;~;A'WS ~D MAR~ON COL NTY <br /> <br />REMARKS: CHG PERMIT TO.MA~ RE~~'.: "' <br />DONALD E., W(]ODL, EY, MARI.Ot~ COUI,IT.Y....BUZL.D!.~G OF¢ICIAL /..BY ..._ .............................................. <br /> <br />OFFICE COPY <br /> <br /> <br />