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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />~20 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />t em ~, reOl~,tered builder OR ( ) thc .~uth~rizcd representative <br /> <br />PHONE: 5884147 8:00- 4:;30 <br />HOUR CODE-A-PHONE: E88-7904 <br /> <br />DATE; ..................................... <br /> <br />i b~¥uS" ×~i~,. ...................................... i ~-f~OETT6~i r~E,, : OCCUPanCy: <br /> <br /> ~OHSVILL, E ~ ~7~25 ~~TY <br />ru's~ 5~ ~d&~ ......................................... ~ ................... <br /> <br /> 1148S JAMffS WAY ...... <br /> AU~SV~LL~ 97325 SITE NUMBER: <br /> PHONE: 74?-2354 ~ VALUATION: <br /> <br />~ WIDTHI~ ........ ~ .................. ~6E ~N: Z .............. -- I~:~ ........ :~ ~ ~' UNI~ ........ ' I~G,~ LOT; ~';~N~; ................ ' .... <br />..... ~,,, L_~.Z~_.L,.,,.:~ ,, ~. __ { ............... t .............................. <br /> TYPE: D~-SiTE SEWAGE ~ATER SUPPLY~ P~ <br /> <br />PERMIT OR APPLI[:ATZOH HO: 9~6G139 <br /> <br />CON')'RA C, 1'LIR. <br /> <br />i~485 JANES WAY <br />AUM~VILLE <br />PHONE: <br /> <br />TEST HOLES READY: <br />~ITE EVALUATION NUMBER: <br />EXI~TIN~ TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEP'FIC TANK PUMPED: <br />~REVI0~S ~q,.~EDROONS: <br /> <br /> ITEH ,,, QUANT I TY AHOUNT <br /> <br /> .................................. TYP~: CK DHECK ~; ~2~ <br /> <br /> · : ',,.,~.'.'....-. ,,..y,, ;.:'..'.,,,,. :...,.,.~ <br /> <br />]NomI-RUCTIBN P,:RMIT~.~ ..MUS~"BE OBTAINEP"BEFORE ~UILDIN¢' OR' 'SEPTIC INSTALLATION BEGINS. <br /> <br /> <br />