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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO. 225 <br /> 220 HIGH ,STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: §88-7g04 <br /> <br />The work will be ~e~formed by e registered <br />~ther"~eadh~ve ~nd agree to the ter'~S ~tafe~ o~ t~e reverse side ~'~ DA~ .................................... <br /> <br /> , tAX <br /> <br /> 10920 MAETIIq LN ; NE -- .............. <br /> <br />WALTER BOYES <br />547 SE 74TH PORTLAND 97215 <br />PHONE: 253-2847 <br /> <br />J VALUATION: <br /> <br />TYPE.- ON-SiTE' SE~A~E ~ <br /> <br />WATER SUPPLY: PW <br />TE~T HOLES REAl)Y: <br />SITE EVALUATION NIJMBER: <br />EXISTTNG TANK SIZE: <br /> <br />OFFICECOPY <br /> <br /> CONTRACTOR~ NO. EXISTING BRAIN FIELI) Li[NES: <br /> BAVIDSON~ JOHN ~)EPT:~C ~ANK PUMPED: <br /> WALTER BOYES <br /> 547 SE 74TH F'Or~TLAN~ ,,','"97215 ' <br /> <br /> ~T H " "' ~ ": ' ' 9U <br /> .... '. ....... , .: ANTITY AMOUNT <br /> SITE EVALUATION~ FIRST. ~, ,,:.,,. , ..... ,':' ',~::... ,".'. <br /> · .. · "'.'.' ~. ,,.',u. . ,',~".'..',',,,/..., :,'..'.~ .'~ <br /> ....... ' ....... ,' ..... <br /> <br /> ' ' "... ' ,: ...,, :'?~tS,'R~CE~,PT...:.~:' . $~.~ <br /> ' ' ' .',',' .'.",':'./":"".:."f.:;~d~e~.:~¢~'~":-,': <br /> ~Y~: . "':'" ":"~',:':". <br /> <br /> ~E_~TTACHED ~OCUMENT.,FOR.~E~i~O~'ON=~E::SE~,AGE ,~YSTE~. <br /> <br /> NOTE: THIB ~[~ NOT GRAN~. ,OR <br /> <br />'REMARKS; SITE EVAL APF'ROVE~ STarSYS ,. <br /> DONALD E. WOOgLEY~ MARION'GOUNT~ BUILDING <br /> <br /> <br />