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MARION COUNTY BUILDING INSPE TION <br />COMMUNFFY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE - Room 132 * Salem, Oregon 97301-3670 <br />Offlee Hours: 5:00-4:30 - Phone: (503) 588~5147 - 24-HR inspection Line: ($03) 588-7904 <br /> <br />~NSPECTiON REQUEST <br /> <br /> Peri, it type: Subsurface Received by: <br />iy~$pec-t'ion -~¥pe: Pre-c~ver Dele rec: <br /> T~me rec= 7:44~ ~4 <br /> <br />Site number: 74-034~5 <br />Type co~st~ <br /> <br /> Activity: new <br /> <br /> Er~ergy Path= <br />Permit ~: 57118 Setbacks FR: <br />Category: RESIDENTIAL LS: <br />Description: --- RS: <br />Issue Date: 11125194 <br /> <br /> Phone: <br /> Croms Street: N SANTIAH HWY <br /> <br />Job 8d~r~$: <br /> <br />BAKER, CHUCK <br /> W~ ~ANTIAH HWY <br />AtlHSVILLE OE <br /> <br /> Ins~'aller: CHUCK BAKER Phone: <br />Scope of Permi~ Nt[Mbe~- <br />STANDARD ON-~iTE SYSTEM 1 <br />Per~q~'b requirements: RECEIVE~ STAKEOUT 18/~5/Y4 STAKEOUT RECOHHENDED--c74 <br /> IG8"HIN FROH SPRING AND WELLS <br />Oo~men~s: AS BUILT ON THE JOB <br />Lamt ~equested i~spection: 87/25/95 Pre-cOVer <br /> <br /> .~ -- ~---~-~-. ............ . <br /> <br /> <br />