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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: 588-7904 <br /> <br />DA?R: ............................................ <br /> <br />· WATE~ BUPPLY <br /> <br />SITE EVgLUATION NDHBER~ ~974 <br />E×ISTIW~ T~NK SIZE: <br /> <br />$£P'Y~C TANK <br /> <br /> .~. ~, .h OU,~NT ~'Ty ~,. JNT <br /> F:?,W D f'].i .... "": ...... ' '' ~' ':" <br /> , ~-'.. ( .... , ,, .... ' I $4,,,¢,, ~0 <br /> <br /> '-: ' ' ", - '; PREV:I.OUS"REOEiPFS <br /> "' ':'-':- fH,ZS:"REcE~pY,, . $~,, <br /> <br /> · ....'.' "'; ' us .... <br /> I;'~E~: ~A ~".'" ' '. ' .' ' ":'" RECEIPT <br /> R~{:LEtVED RY: Ml~ 1/ Vt [.1~' .'. .... , ' '," , TYPE: CHECK $~ <br /> <br />~),~ 'Ri Ct"[O~ F~!~S Zo ~E~T.'~L~,.R:~UIREMENT~, 0F, ST~E LAW5 ~ND MARION ~OUNTY <br /> ' ' .."./.....;,,7, ,; . ' ',,,' '..' ..... ," .' <br /> <br />N ,OI,,,,.LY~ Mf~P, iCN C,gLtf~TY BUI/,D):h!G 8FF),CZAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />