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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO, 22§ <br /> <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588.7904 <br /> <br />~JGNA'rURE (DF APPLJCAN .. <br /> <br />TYPE: ON-SIT~ SE~E EATER SUPPLY: PW <br /> TEST HOLES RE~DY: <br />PERH[T OR ~PPLICATIDN NO= 9~519~B s~T~ EVALUATION NUMBER: <br />ugI~T,,~CT~R,, NO. EXeS'TIN5 DRAIN FZEL, D [_II,lES= <br /> <br />PHONE: 678-'55~7 ... ".. '~'2~::, '.., <br /> <br /> ~UANTITY AHOtJNT <br /> I ~265. ~B <br /> <br />FpRM # MC ~5-56 NE~. 4/90 OFFICE C43PY <br /> <br /> <br />