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MARION COUNTY BUILDING iNSPECTION <br />SENATOR 8LDG, NO. 325 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-514,7 8:00- 4;30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />am ~ registered bult0er OR ( ) the authorized re present~tNe <br /> <br />TYPE: CN-E, ITE ,SEIHAGE <br /> <br />SITE EVALUATJ, ON. P~.RST LOT, <br /> <br />NATER ~JPPL,Y: C~ <br /> TEST HOLES READY** <br />S~.TE EVALUATION NUMBER: <br />~ISTirNG 'rAN,K siZE: <br />EXiSTiNG ORAiN FIELD LiN~: <br />'SE~T,[C TANK PUffiPED: <br />PREVIOUS NO. BEORO01~: <br /> <br />.. ' .' .. i '. '.' .' ' TOIAL: ,~..S~ED., FEES <br />' · ';. ... .L CE. <br /> <br />q[,ta~N T I TY <br /> 1 $180.00 <br /> $180.00 <br /> $180.00 <br /> $o.oo <br /> $o. oo <br /> <br />PAYEE: '..:. ~ I , I · · I · INVOICE <br />Rp~EiVEO r4V~?R ,T,- ' ~' ,~'~'"',;2:" ;;::"' $.~'~-Z':&~.'~'~?&'.ii:2f""~",'[~T'~'E'': '"' ~K <br /> <br />NOTE: ~lS ~ ~ ~T ~ I~Y,, P~I~I~'.TO,:~I~ '~ ,~IS PA~. <br /> <br />RED1ARKS; SE STANDARD SYSTFJ¢I <br /> . / <br />[YONALO g. ~OOOLEY, RARiON CCUNTy I~JILD£NG OFFICIAL / BY ............. _[~_.. ................. <br /> <br />OFFICE COPY <br /> <br /> <br />