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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG. NO. 225
<br />~-20 HIGH STREET NE
<br /> SALEM, OREGON 97301
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<br /> PRONE: 588-5147 8:00 - 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
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<br />Other__
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<br />~Sifu'~ 'XdO~-~BT ........................................................ ~'~d'~i~'~ .................... ,' B~'~X~
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<br /> 562 11TH ST N ~ CONTACT CITY; ~ UGB: i~CUPANT~:
<br /> AUMSVtLLE . OR ~7325 ~ ~ARION C;OUNT~ NO J ,
<br /> .............................................................. , .................... L ............ ~ ......
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<br /> SAHE ~
<br /> J SITE NUMBS= Y4-88755
<br /> PHONE= 74~-~3 V~LURT~Hc
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<br />w ~ .............. ~ .................... ~..-~&--
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<br />TYPE: ON-SITE SE~A~E
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<br />PERMIT DE APPLICAT~0N NO~ 53859
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<br />CONTRACTOR, NO.
<br />CAUGHMAI% ELIZABETH
<br />SAME ~,..'.:' .": -'
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<br />PHONE: 749-1503 ....
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<br />WATER SUPPLY: PW
<br />TEST HOLES READY:
<br />S~TE EVALUATION NUMBER;
<br />EXISTING TANK SIZE: 7SO
<br />EXISTING D~A~N FIELD LINES:
<br />SEPTIC TANK PUMPE~:
<br />PR~IOUS'"NO;'":BEQROOMS:
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<br /> ...................... ~T-=-T ~-7':'- -~-,"- - -:--- Q'OANTII'Y AMOUNT
<br /> ANNUAL EVAL. - TEMP OR IdD~I-IP:.NH , ' ' ,'' · , : .... 1
<br /> I . I i I I I II III
<br /> ..... · ...,';
<br /> ' '" "':": .... ' .¥....'.',']'.,TH~',,REcEzP~ ::' :
<br /> ......
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<br /> · :,... ,', ,',' .:: ....:: :..;,, ,,.. · .....
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<br /> RECEIVE~ BY: ~-~ . ." ':"'", ;"'. '...'-. ',:,:",,','..-:: ',: ....... "' '.' TY~'. ~u~' +.
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<br />.~e~.~.A.~F~B P~H~T $' ~H~"P~H~::~P~R~S'~.,-~y~:',FROH ITS I~E ~ATE. ~F
<br />uum~.~u~./~ul~ r~l~Lo '1'~ ffEE~ :AL~ RE'~U~H~NTS 'OF':'~TATE':LAW~ AND HARZON COUNTY ~J~L~N[;
<br />ZONING OR~N~NCE~ THIS P~RN~T, $I~LL gECOHE."~LL
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<br />R~',HAR ',,~
<br />DONALD
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<br />H;DSHF':r([-_"NEWAL. ,O.,KAY TO CONTZNU~ FOR TWO,HORE ,YEARS, bio FAIL~R~.
<br /> WOODLEY~ NARION COUNTY BUILdINg' OFFICIAL / BY ~ ~
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<br />FOR~ * ~c ~.,~.~v, ,~ OFFICE COPY
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