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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 - 4:80 <br />24 HOUR CODE-A-PHONE: 588-7904 /, ///-//.,. ~ <br />The work witl be 9eHormed bY a registered builder.' ./_ Y. <br /> <br /> CONTRACT CI'~.~ U~,~B(~ II OCCUPANT LOAD; <br /> ~AR ~ O{,I ¢ODNTY! <br /> <br />· ~¢~; ........................................ <br /> <br />WATER ~[~PPLY: P~ <br />TEST HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />EX!~TIN~ TANK SZZE: . <br />EXISTING DEA~N FIELD LINES~ <br />$?T~C TANK PUMPE2: <br />PREVIOU~ NO. BEDROOMS~ <br /> <br /> Z'I?H . ', OUAH]'ITY <br /> : ': "'TOTal'ASSESSED FEES $2~,o.~ <br /> . P~gVI'O[IS RECEIPT~ ,~. ~ <br /> <br /> ,,J,..,E. ,~:.)~ JONN: .... ,.. .......... .,......,......-..,. ,, · <br /> <br />SEE' AI'TACH~;D DOCIlHEI<T FOR :EEQUIREHE~TS'OF"ON-8[T~ 8EWACE SYSTEM, <br />........................................ ..... ........ ....................................... ~ ........ I <br /> <br />NOTE= 'I'H~ l)}ff~ N~}I~RANT. O~",'[MP~Y, PER~,SB[~fl TO BU'~LD UN THIS PARCEL. PLAN~IiqG AN5 <br /> <br />~.'~ .Ai~ <br /> BY <br /> <br />~t~MAf~i<S: ~E' TH~READY <br /> <br />~u ~ ~c ~ ~.,,~ ~;v. ~ OFFICE COPY <br /> <br /> <br />