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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG. NO. 22S
<br />'~20 HIGH STREET NE
<br /> SALEM. OREGON 97301
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<br /> PHONE: 588-5147 8:00 - 4:30
<br />24 HOUR CODE-A-PHONE: 5~8-7904
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<br />Nil ............................. ·
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<br />TYPE: 0N-SITE SEWAGE
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<br />CONTRACTOR~ NO. ·
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<br />~I'ENG~L~ MARY
<br />5B4 SW EASTMAN PARK WAY''''::`''''' I ....... "~" '"'
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<br />k~TER SUPPLY:
<br />TEST HOLES READY.
<br />SZTE EVALUATION NU~OER:
<br />EXISTING TANK SIZE. 100~
<br />EXISTING DRAIN FIELD LINE~
<br />SEPt,lC,TANK, PUMPED: FORE
<br />PREVIQU~ NO.
<br />
<br /> GRESHAm, OR ?7080
<br /> PHONE: &66-1840 ';
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<br /> !,?.? :' :'" ',: , ' ' '"",',' ...... · .' ' ~UAMTI'FY A~OUH';r
<br /> ~,~ o~, ~PT'.': ..... .~.'." ', ~ .,
<br /> ,',:~I~m~ ~rSTE~ EVAL. ',-'.' .' ': ' 1 $~6~
<br /> "...". ,~ .... ... .... ."':."~OfA~"A~S~S.~ED.,,FE~ ,z~
<br /> ",", :. ·: ' · .~,~R~[-~ R~CE~,PTS, S~.8~
<br /> .... ,. ',,; ,,',,'~,.; ......... ::~ TH~.',RECE[P; ':,,' '
<br /> ,. ....... ,.....~..,;.., ,.,.. ....
<br /> · ..".
<br /> P~YEEt STENGELN HARY ':."'" '~ ......
<br /> ~ ~..'.., ~, . . . .... ,. RECEIPT NO= 595[e
<br /> RECEIVED BY= ,JS .... .:.. ,'" ': ', ........ · ........ ' .... ' "" :
<br /> ........... ~ ·: TYPE: 0K CHECK ~: 78~
<br /> ' '~[CESSARY Ii,l~ ~UMPLE~ED...':""~:/,"I~LTHE'' ~EgPON~i~k!,TY',Q~ THE APPLICANT TO ASSUR~ THAT
<br />...... · O~ATION H~B' ~,EEN..:PROVI~D. '.'.:"....," ,. '
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<br />PLAN Ri~VIEW: BY.~:'DATE'..~~' ?.:CITY ~ORI.~3'~'CI~OW: B~ ................. ~A'~'E .....................
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<br /> - '"" ~ ~/'~ ~ "' :l ' ~
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<br /> 0FF~CE COPY --
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