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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />I am a registered builder OR the authorized represen{ative <br />0 a regstered bu Ids. <br />Tho work wilt'be pefformeO '~y ~ r~istered builder, <br />Other ' , .......... <br /> <br />this dooument, <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> H~RZON COUNTY J <br /> <br />].29~ EWAL, D AV~ $[ <br />PHONE= 585-4861 VALUATION: <br /> <br />TYPE: ON-SITE SElVAgE WATER SUPPLY: PW <br /> TEST HOLES READY: <br />PERMIT OR APPL:[CATIDN .NO: ~852157 SITE EVALUATION NUMBER: 42814 <br /> EXZ~TZN~ TANK SIZE~ <br />CONTRACTOR., NO. EXISTIN~ DRAIN FIEL~ <br /> CHERYL <br /> ...... I...~.EB~IC. TA~, DUMPED: <br />~EHUT~,i29~ EWALD AVE SE ..;, ..... '"~-:':":"'""=~='~':""' ' ...... F-PRE~I'IOUS ~0%' <br /> <br />PHONE: 585-4861 :.:...:-~j. ~ <br /> <br /> ITE~ ......... .~... ,. ..,~., ,,y ........... : ...~...~ .... QUANTITY AMO. N <br />STANDARD ON-SITE SYSTEM. ...'~ x:':"., .....,:'"'"" :.;.~.~....:,..: L;":, .' ~.. :,,~.._.,',.~ . .~,;...,:.~,.,~, .~.' :,:'.:..,. ': '~ :"'.':..~ ,,.. . "'. =~,."::~ I s255~ <br /> <br />PA~I~E." DEHUT, CHERYL <br /> <br />SEE ATTACHED DOCUMENT <br /> <br />';; ...... $255.88 <br /> <br />.? RECEIPT NO~ 54611 <br />~ TYPE: CE CHECK ~: B58 <br /> <br /> REV[/~ PROCESS ~HERE TH~ <br /> ~PPLI~NT TO ~,....~Lh'~E. THaT <br /> <br /> ~ THIS IS NST A <br />FOLLOWING MUST BE COMPLE <br />ALL ;,IECESSARY INFORMATI[[ <br /> <br />PL,,AN <br /> <br />- '~a,~ u~ ~-~ ~Ev,,l~ OFFICE COPY <br /> <br /> <br />