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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; 58S-5147 8:00 - 4;3C
<br />24 HOUR CODE-A.PHONE: 588-7904
<br />
<br /> DATE: 01/2i/74 TINE: 13:~0:26
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<br />, AURORA OR ~7~2
<br /> ~Ne, oF
<br />
<br />TYPE] OH-SITE
<br />PERHZT OR APP%iCATION NO:
<br />
<br />CONTRACTOR NO
<br />PERKETT DICK
<br />
<br />PNONE~ 2&6-9592
<br />
<br />iIATER SUPPLY{'PW
<br />TEST HOLES' READY:
<br />SITE EVALUATION NUMDER= 34389
<br />EXIST~N~ TANK SIZE:
<br />EXISTING DRAIN FIELD LINES:
<br />SEPTIC TANK PUHPED:
<br />
<br /> ITEM '..', '; ;, GUANTITY AMOUNT
<br /> STANDARD ONmSITE SYSTEM ',"' ...... ":'.":'
<br /> ...... · ......... :.,,' ...... !. 1 $255
<br />
<br /> · ,,,
<br /> ' ' -"' :',' '.". :,.:,';,,":,' ~R~V~:.:~-~.TB.,
<br /> '..".~:..';, ,,',' ',:"~'.~:,v~,,',~.;~,.:~E~ZPT.:
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<br /> ',' .,', ,,:.,. ~:.:'.'..-..~:'.t?sm':'::~r~;, ~4 ',;~r, ~',,,~- <% -..~ .~'.,'. '":
<br /> PAYEE. , .,
<br /> RECEIVE~ BY: PH
<br /> .......... - .....
<br /> SEE ATT*CHED DOCUHENT~Q_=__= ~~E.~ ~Ed ~GE SYSTEM.
<br /> T ~ ~ i ~[ ~ MARION COUNTY ~UILDIN~ AND
<br />:ZUNiN~ ORDINANCES, THIS.,:PE
<br />
<br /> ,: .......... ~,, .~ ....... ..,,.: ..... ,~., ~ ~ .
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<br />REMARKS: STD ~Y$
<br />
<br />DONALD E. WOODLEY~
<br />
<br />;o~u, uc ~ r,.r~ R~v. ,w OFFICE C, OPY
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