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MARION COUNTY BUILDING INSPECTION
<br />SENATOR SLDG, NO, 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
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<br /> PHONE: 588-5147 ' S:O0 - 4:30
<br /> 24 HOUR COOE-A-PHONE: 588-7904
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<br />SITUS ADORESS: , CONSTRU~ION ~PE; ,
<br /> ~UHSVZLLE · O~ ~7~25 ~ARZO~ COUNTY ~NO
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<br /> : ; SITE HUHBER: 94-$2~85
<br /> PHONE; 749-2287 J VALUATION:
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<br />TYPE: ON-SITE SFr.)~AG£
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<br />PEEHIT OR APPLICATION HO=
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<br />CONTRACTOR.
<br />PFLUG, HIKE & NANCY ..,..
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<br />PHONE: 749-2287
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<br />55882
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<br /> WATER SUPPLY: PW
<br /> TEST HOLES READY:
<br /> SITE EVALUATION NUHBER:
<br /> EXISTING TANK SIZE:
<br /> EXISTING ~RAIN FIEL~ L~NES:
<br />· '-'.SEPTIC,'~ANK',,~UMPE~: 5~94
<br /> PREVIOUS NO. BEDROOH$: 2
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<br /> ITEM , ' ..... QUANTTTY AMOUNT
<br /> REP - , , '.', ..'i .. · ' 1
<br /> ' AIR MINOR ., ,,,,.,
<br /> AUTHORTZATI'ON NOTICE -':}NO';..V.tS~T' ,',, :' ,,'' i."i'...'.. ', ,. ' 1 $95.00
<br /> · . ' ,.~ ' ' :jL..TO:E~L'.A~SES'SEQ'rFEES $180.00
<br /> ' ", ~ ."'-' ...... ','.'...PRE'~/IOU~','RECETPTS. $1~,0.00
<br /> '...: ..... ~," ,, .:.TFIIS :-EECE~tpT .:.. . $20.00
<br /> :..:.,.,: ,........,,, ...... .. ·
<br /> .... ; .... ':'"" : ' ;'B~L ,,,~DU ........ '~: ~;0.00
<br /> PAYEE: "/',.,,: . . . .,.. , ..... "" RECEIPT NO:
<br /> RECEIVE9 BY: PM ............ '
<br /> .. '~:g:~ ~.~,',. · "~ ". ...... TYPE: CHECK ~: 8
<br /> SEE ATTACHED ~OCUMENT ~o~,~[Q~tRE~EH~S,' OE .ON-.S!TE;~WA~E S.YSTEH.
<br /> FAZLS TO M/ET;:'A~::'RE~REHENTS".DF.' STA~E,EAWS"AN~ HARION COUNTY BUILDING A~
<br />ZONING ORSZNAHCE8, THIS ~ERHIT.:'SH~....BEEO~E' NU~L 'AN'9"iVOI'~'; "
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<br /> · ,,~ %4' ',' ~ ..... · · · . ,' ,',, .' .~.
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<br /> REHARKS= S~=AU H~NDR TANE..:'EEPLACENENT ....
<br /> DONAL~ g. WOODLEY, ~AR~ON.'CQU~T'~":BU~%Q[NG OFFICIAL'/ BY .
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<br />OFFICE COPY
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