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MARION COUNTY BUILDING INSPECTION <br />SENATOR 8LDG, NO. 225 <br />220 HIGH STR6ET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:8,0 <br />24 HOUR CODE-A~PHONE: 588-7904 <br /> <br />DATE: 06/24/?4 TIl'lE: 9:12:47 <br /> <br /> PO I~OX 677? ,~ ............................................................ <br /> ALOHA OR 9'1~7 SITE <br /> PHONE: 678-~28& ~ VALUATI~N~ <br /> <br />TYPE: /}H-SITE SEi~AG.E <br /> <br />F"EJ~NIT OR APPLICATION <br /> <br />SHtTI-I~ ALAN <br />PO ~OX <br />ALOHA OR ~?~07 <br />PHON~: <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTIN~ TANK SiZE~ <br />EXISTING ~RAIN F~ELD <br />SEPTIC TANK PUMPED: <br /> <br /> ITEM <br />STANDARg ON-SITE <br /> <br />"TOTAL.'A~ESSE~",FEE$ <br />''PREV[flUS RE~,[FTS <br /> <br />1 $255,0~ <br /> <br />$0,00 <br /> <br />$0.00 <br /> <br /> RECEIVED BY." P~ ":. ' ' ~'l ' i TYPE: CHECK ~: 0 <br /> <br />OONSTIRUCI'~ON FAILS TO HEET: ALL :EEQUIREMEN[~ OF.'~TATE' LAWS AND MARION COUNTY BUILDINg <br /> <br /> .""'=j"i: '' " " ,r, ' " <br /> <br />REMARKS: NEbl SEPTIC <br /> <br />I)I}NAI_D E, WOO.DI_EY~ MARIOH COUNTY BtJILDIN~ OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />