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MARION COUNTY BUILDING INSPECTION <br />.~ENATOR BLDG_ NO. 225 <br />220 HIGH STREET NE <br /> SALEM~ OREGON 97301 <br /> <br />PHONE: 588-5147 8:{30 - <br />HOUR CODE-A-PHONE: 588-7904 <br /> <br /> The w~rk will be pedormed ~y a r~Jstered builder. <br /> <br /> I have rea~ an~ agree to ~'~ terms state~ <br /> <br />D~TE= ~5/~/94 TIME:~: 17;~ <br />', D~VIDSON~ JOHN <br /> <br />AORO~A OR 979~2-~009 <br /> <br />MCMIflNVILLE. ~R 77128 <br />PHON~ 47~-262~ <br /> <br />TYPE: ON-SITE ,~EI~AGE <br /> <br />PER'flIT OR APPL~ICATI'ON <br /> <br />CONTRACToR~ HO. <br />DAVZDSON, JOHN <br />MCMINNVILLE. OR 97128 <br />PHONE~ <br /> <br /> WATER SUPPLY: PW <br /> TEST HOLES READY: YES <br /> 54491 SITE EVALUATION NUMDER: <br /> ~XISTIN~ TANK ~IZE: <br /> SEPTIC TANK PUMPE~ <br />', · PR£V[oUS HO. BESROOMS: <br /> <br />~UANTITY AMOUNT <br /> $225.~0 <br /> <br /> TT[M ',', '- .'." <br /> <br /> · ' ' "'"' ' TOIA.L ~SS~SSED FEES <br /> · .:' '"' ,: PRE~ZOUS RECEIPTS <br /> .... ' · ':,, <br /> <br /> RECEIVED BY: P~_ : ' ' ." -: ',' . " . ..... · TYPE: CHECK <br /> SEE ATTACHEb DOCUMENT 'FO~,,RE~u'i~E,~ENYS'OF' ON~S'ITE SEWAGE SYSTEM. <br /> <br />OHST~UCTION PE~H[T~ MUST ~ ,O~TOIN~ ~0~ ~UILD!HG OR SEPTIC INSTALLAT!ON <br /> <br />REMARKS= SE APPROVED FOR CAPPINg, FILL <br />DONALD E. WOODLEY~ MARION 'COUNTY ~UILDING OFFICIAL <br /> <br />~ ~c ~-~,~'v, 4]~ OFFICE COPY <br /> <br /> <br />