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MARION COUNTY BUILDING iNSPECTION
<br />SENATOR BLDG, NO. 225
<br />2¢0 H~GH STREET NE
<br /> SALEM, OREGON 97,.301
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<br /> PHONE: ~-5147 8:(30- 4:30 '
<br />24 HOUR CODE-A-PHONE: 588-7g04
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<br />TYPE: ON-SITE SEWAGE i WATER SUPPLY; PW
<br /> S'rTi-'- EVALUATION NUMBER:
<br /> TANK
<br />CONTRACTOR. ilO. ~ EXISTZN6 DRA;N FZEL. D LINES.~
<br />202~5 ~4BTTEVILLE .,,/" ;"PREVIoUS NO;-~ROOMS:
<br />HUB[~ARD OR ~7~2 ~ :'
<br />PHONE: ~7,8-.55~7 ; ..-~:.'"' '
<br /> ......... ,, ...,.,:.,. :
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<br />- , . EVALU ION F~RS~ ~O..~ ......... ~, ,~ ,.~. ...... ~ ........... ..-..: .... ~
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<br /> ; ,: :'~...¢;.~..;~r..-~ ~,~,,,~ '~,~E~T~4 $265
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<br />F~YEL~ ' RECEIPT
<br />RECEIVED ~Y: P~ TYPE: CHECK ~:
<br />SEE ~TT~OHED DO~UMBNT~ iYSTE~.
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<br />NOTE: THI~ DOES
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<br /> DCH,iAL ~J E,, !,!00DLEY~
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<br />THIS PARCEL. PLANNING AND
<br /> INSIALt, A ~ ~0,. '"'
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<br />~o~# ~ ~R~, ,~ OFFICE COPY
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