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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-PRONE: 588-7904 <br /> <br /> ~ENDENHALt.., RObERt ~54~84-eee ~ESZDENT~L <br /> ~UH~V~LLE <br /> <br /> S~ME .............................. <br /> PHOH;: N/P V~LUAT~0N~ <br /> <br />'WIDTH: D~PTH; ~AREA; U~I~ ;: I~REG, LOT~ O0~ ...... <br /> <br /> ~PE~ ~H-SI~ SE~hGE I. WATER ~UPPLY~ PW <br /> .. t TEST HOLES READY= <br /> PE~IT OR APPLICaTiON ~: 9~78g ~ ~ITE EVALUATION NUH~ER: <br /> E~I~T~N~ TANK SIZE. ieee <br /> CONTE~CTOR~ NO. ~ EXZSTZN~ ~RA~N F~EL~ LINES.- <br /> HEHDENH~LLs R0~ER'r ~ SEPTIC TANK PUHPE~= <br /> <br /> PHONE: N/P <br /> :, <br /> <br />AMOUNT <br /> <br /> $185~00 <br /> $0.08 <br />",', $185.00 <br /> <br /> PAYEE: 9TOfl~ JUDY <br /> RECEIVED BY. cl <br /> SEE ATTACHED DocUMENT <br /> ~ THTB ~g NOT A ~RHZT. <br />FOLLOWING MUST BE <br />ALL NEOE~SARY ~NFORHATION',"~ <br /> <br /> PLAN REVIEW: BY ._, ~ATE C~TY JUR~ICTION~ BY <br /> ~EMARK~: ESE PFr 12-27-'94 <br /> - . <br /> <br /> 63414 <br />CHECK ~: 14li <br /> <br />REVZEg PROCESS WHERE THE <br /> APPLICANT TO A~LIRE THAT <br /> <br />DATE .................. <br /> <br />OFFICE COPY <br /> <br /> <br />