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MARION COUNTY BUILDING INSPECTION <br />~ENATOR E~LDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9'7301 <br /> <br /> PHONE: 5986147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />) O~her. <br /> <br />SIGNATURE OF APPLIC^NT~ <br /> <br />DATE: ..................... <br /> <br /> 82,31 N SANTIAM HWY <br /> AUNSVILLE 5'~TE I,~ltlBE~.- 94-1a349~ <br /> PHONE: 749-2&79 VALUATION: <br /> <br />" ' ........ ;'- ~ ~ ?~ ...... NU ...................... <br /> <br />TYPE= OH[T£ SEWAGE <br /> <br />PERflIT OR AI~PLICATION NO~ <br /> <br />CONTRACTOR~ NO, <br />BAKE~, CHUCK <br />82~I N SANTIAM HWY <br />AUMSVILLE <br />PHONE: 749-2079 <br /> <br />57962 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: YES . <br />SITE EVALUATION NUMBER. <br />EXZSTINC TANK SIZE: <br />.EXISTING DRAIN F~EL~ LINEg~ <br />S~PTIc TANK PUMPED.' <br />PREViOus NO. ~EOROONB: <br /> <br /> SITE EVALUATION, FIRST LO~'.'"'.':. '-.:,J'";';,",",: :." ,...' '. 1 $~65.80 <br /> <br /> :,,', , ' ...... '-' ': "-'~$,',,RECE. IPT-"."" $~. <br /> <br /> · :":' '"%-:..' ,,.' <br /> PAYEE: ' ' ' ..... ' .: ~"' AECEZPT <br /> RE'CE[VE~ ~Y: cl · '" : '",,:" "' '" ' "' '"' "' <br /> <br /> ...................... ~ , _~_~ ...... 7', , , . '-'~;--~ ........................... <br /> <br />NOTE~ TH~S 90ES NOT ~N~ OR :'ZN~E,~,,:PERH~SSION TO"~UI~D ON'THIS PARCEL. PLANN~N~ AND <br />ON~T~I.JCT~ON PERMITS MUST BE ODTA~NED 3EFO~E BUZLDZH~ OR S~PTIC INSTALLATION BEGINS. <br /> <br />DONALD ~. WOODL, EY, MARION COUNTY BUILDIN~J OFFICIAL / BY ....................... ~_ : <br /> OFFICE COPY <br /> <br /> <br />