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MARION COUNTY BUILDING INSPECTION <br />S~:NATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 S;00 - 4:30 · <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> a~ performing work on a propel' y own or OCCUI~y. <br />J ,~m a regis[e~a~ builder OR ( I the euthDrt~¢Ci representative <br /> <br /> ~6S CLIFFORD AV~ -- JI , ~' <br />DETROIT OR 97342, ~pETRQ~ ........ L,,,.~ ~ ............... ~ ....................... <br /> <br /> PHONE: 24S~6438 V~LUAT~ON: <br /> <br />......... [~-~ .................... ?~ ........ ~ ~'~-'~ ~ ~**: <br /> ~,5.2 ..............._[,~i..: ~.,::,,~t$t.~$~ ...... 8~ .............~,,,-~,~ .............. k--'N~ ................. :,,,::,,~ ~ .... ,; .... <br /> <br />TYPE: 0N-S~TE SEWAGE <br /> <br />CONTRAC'rOR~ NO. 44077, <br />Henry Alluis Excavatin~,.~Ltd .- <br />400 Loaf Rd · <br /> <br />Silve[ton.,. 97~81-0000 <br />PHON~. 87M 4M47 <br /> <br />WATER SUPPLY <br />TE~T HOLES E <br />B~T~ EVALUAT~ NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRA~N FIEL~ LINES: <br />~EPTIC TANK PU~PEQ: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> IiTEH QUANTITY AMOUNT <br /> $0. e0 <br /> <br /> ' ·: ' .' .... ",' <br /> PAYEE: He~ry Allu~s E~c~vati~g Ltd' "." INVOICE blO: 4~6~ <br /> RECEIVED BY: PH ..... '" ' ........... "' TYPE~ IN CHECK ~: <br /> SEE ATTAgHE~ QOCUMENT,':.FOR ,'~EGU~EEHENTS,,OF.ON-SI~ ~EWA~g <br /> <br />FOLLOWING MUST BE EONPLETE~. IT ~8 THE 'RESPONSI~C~TY"OF'THE APPLICANT TO A~UEE THAT <br />ALL NEOEBSA~Y INFORHATIONT'.H~S BEEN ,PEOVIBE~.'. ~ ~,. ' " <br /> <br /> PLAN REVIEW: [~Y_ ATE~_~ _' CITY 'JURI~DICTION~ BY ............. ~ATE ............ <br /> REMARKS: REF: SE BENIAL ~42~4~ <br /> <br /> <br />