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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />am a registered builder OR ( the authorized representative <br />have reac~ at3d agree lo the terms stal~ on the r~yrrea side of <br /> <br /> 125 F~:RST ST -- i i <br /> I)ETROIT OR 7734'~ <br /> <br /> 532~ N~ ESTER ST <br /> VANOOI,JV[R~ WA 98663 <br /> PHONE~ 2~-695-89~ ~ VALUATION:. <br /> <br /> PER~IT OR APPLICATION NO: 9~4&194 SITE A ~UHBER: 4267~ <br /> EX~STtNG TANK SIZE: <br /> CONTRACTOR. NO. EXISTING OEAIN FlgL~ LINES: <br /> JEFFREY, CHASE SEPTIC TANK PU~PE3: <br /> 5328 NW ESTER ST PREVIOUS N0. ~E~ROOHS:' <br /> <br /> SEEPAGE TRENCH , ,. ,,,.. . QUANTITY AMOUNT <br /> <br /> ,.', ,,, <br /> . , ,.,..,.,:. ,.. <br /> <br /> ~EO[~VE~ ~Y= ~9. Y ~:~'.':':,.:-:~-"..-",.~::"~,.":.~.'?-:':;:~:;'....':.'.",'.'....:~:',:' ' [NVOZC[ NO= ' <br /> <br /> :.... . .'...:..':..........,.',, <br /> <br />PLaN <br /> .......... ~_..~AT~;~.~.~.~=...-CI~Y.~UR.I~S~.tCTION: BY DATE <br />REMARKS: SEEPAGE TREHOH~ ~'~BTEH:~' ' .................... ' ...................................... <br /> <br />OFFICE COPY <br /> <br /> <br />