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MARION COUNTY BUILDING iNSPECTION <br />SENATOR BLDG, NO, :~25 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:O0 - 4:30 <br />24 HOUR CODE-A-PHONE: 588~7904 <br /> <br />TYPE~ O~SIl"tE <br /> <br />PEAHIT OR APPLICATION HO= <br /> <br />CONTRAC'rOR. NO. <br />BERNDT/EMERSON EXCAVATING <br />8297 ~ VALE gARDEN .. <br />CANBY~ 97013 .. <br />PHONE: 266-?223 <br /> <br />~A~ER SUPPLY~ <br /> EST HOLEg READY: <br />sITE EVALUATION NUMBER; 47452 <br />EXISTING pARK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEP¥IC TANK PUHPEQ: <br />· PRE~IOU~ NO. BEDEOOHS: <br /> <br /> ............................... Z_--z ....... Lz ......................................... <br /> ITEM QUANTITY AMOUNT <br /> STD DN~T£ SYS ( 1000 ~AL . 1 $2~5.00 <br /> ,,r`,. ,....:. "'TOTAE..A~SES~E~ FEES $255.00 <br /> <br /> RECEIVED BY~ PM '" '::' ' ..... ' ..... TYPEA IN CHECK ~: 8 <br /> <br /> ~ TH[S [S HOT A PERMIT. ~[S',,'~pp[ZC~Ti~N,.M~I'~0: ~ROUGH :~ RE¥I£U P~OCESS ~HERE THE <br />FDLLD~ING MUST ~E COMPLETED,:'IT.~,.~HE,-:RESP~Ng~IL~TY.:OF THE APPLICANT TO A.~SURE THAT <br />ALL NECESSARY INFORflATION.HAS'~EEN'P~OVIgE~.,," .. .':. , ', <br /> <br /> !.'LAN ~EVIEW: BY .... ~ CITy .JURISDICTION: BY ........ DATE ................ <br /> REMARKS: SS - ~NQ'[E FEO~ DIT¥:WOULD APP,RE~IATE EXPEDIENCY ON THI~ <br /> <br />,~R~,~ Mc ~-~ ~E~. ~U~O OF FiC E COPY <br /> <br /> <br />