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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 2:25 <br />220 HIGH STREET N~ <br /> SALEM, OREGON 97301 <br /> <br />iL'E <br /> <br /> PHONE: 588~147 8:00 - 4:30, <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />[ am a registered ~ull~er OR tile ~u~horlzed rel~reSentative OF AppI~ GANT: ........ <br /> <br /> 10244 H~t.,L cREEK RD SE cE~f~xEf~i~ ........ ~-o~ ................ <br />~UMSVILLE OR 97~25 MARION COUNTY NO <br /> <br />SILVERTON. OR 97381 <br />PHONE: 873-11~ <br /> <br />SITE NUMBER: <br />VALUATION: <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />~ITE EYALUATION N~¢BE~= <br />EX~STING TANK 8IZE. 1000 <br /> EXISTING 9RAIN FIELD LINES: <br /> SEPTIC.TANK PU~PED: 4-,6-94 <br />"PRE¥IOUS NO;'BEDROOH8: <br /> <br /> ','. ' .... , .1. RECEIPT NO= 5866? <br />'.,'.".":":' .... ........ TYPE: ~K CHECK f: 358 <br /> <br />BY DA~E <br /> <br /> <br />