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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO, 225 <br /> · '~' 220 HIGH STREET NE <br /> SALEM, OREGON S?$01 <br /> <br /> PHONE: 588-5147 ,8~07-' 4:80 <br /> 24 HOUR :CODE. A-PHONE, ~8;7904 <br /> <br />have reed an~'eg~ee ~' the te~a ~tmted o~ the' rev~¥~e side ~ OA~E; ...................................... <br /> PHONE~ 74~-1287 ~ · VAL~TION: <br /> <br /> TYPE: ON-~ITE ~ <br /> <br /> CONTRACTOR,,; NO. ' <br /> SAME .:, : <br /> PHONE: :747-1287 <br /> <br />, SZTE .EVaLUATZOH, <br /> <br /> ,~TER SUPPLY~"PW <br /> '',, ,:. TEST NOLE~,'.READY=,, ~O <br />51~43~~''' .'S[TE EVAL'UAT'Z~N NUMBER: <br />· ' EX[ST[flG,'TRflK.SIZ£= <br /> 'I EXISTING ORAI~ FIELD <br /> '' PREVIOUS NO..~E~RODM$= <br /> <br /> o'UARTITY AMOUNT <br />"~ I' $2§~.0~ <br />;,., ' $265.~0 <br /> <br />PAYEE= , 'REcEiPT NO: <br />RECEIVED .DY; ~YPE= CHECK <br />SEE ATTACHED 'D~CUNEHT- <br /> <br />$52e.oo <br />$52o.8o <br /> $e. oo <br /> <br /> . . · ..... '.'. '..;..:. .. .'.' · .:...,:. ..-. <br /> ::. ,: ....:. <br />SE/SS · ..TH=RE~ ,~'~4~;.~.~'~- , .':~-,.,;'~'"" .";?:: gEE SEPTIC PERMIT <br /> PLAN 6~I'6/~4, ,r ~, ;;:.,, : ....... ',:, , <br /> <br />OFFII3E COPY <br /> <br /> <br />