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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLOG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97;301 <br /> <br /> PHONE; 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />have rea~ and agree tO ~he terms stated on 't'lle ~e¥.rse sida Of' <br /> <br />SIGNATURE O~ APPLICANT: .............................................. <br /> <br />N~Lt..$~ KEVIN ~ 9~24~-~ RE~IgENTI~L <br /> <br /> ~15 HOWE ST CO,~CTmW: <br /> DETROIT OR 97342 DETROIT HO <br /> <br />TYPE: ON-SITE SE#AGE <br /> <br />PEE~IT OR APPLICATION NO= <br /> <br />CONTRACTOr. NO, 84?45 <br />Kevin M Hil~s <br />PO ~ox 465 :'""' " <br /> <br />PHONE= <br /> <br />,53176 <br /> <br /> WATERSUPPLY= OW <br /> TEST ItOLES READY: YES <br /> SITE EVALUATION NUMBER) <br /> EXISTING TANK SIZE: <br /> EXISTING DRAIN FIELD LINES: <br />.,.SEPTIC TANK PUMPED= <br /> PE~VI~O'~'N0~.gEgR00HS= <br /> <br /> ITE~ " .... . gUANTITY AMOUNT <br /> <br />SEE A'rrACHED DOCUMENT, FOR,~E~U~RE~E~T~.:OF '0Rz-BlrTE.'SE~E. SySTEM. <br /> <br />NOTE: THIS DOES HOT 6~AHT"~R"' IMP~Y:"P'8~H~-8~ION:.TO,'DUILD ON THIS PARCEL. PLANNING AND <br />ONSTRU~,TYON PEEM'~TS MUST ~E,OBTAINEb,, ~EEORE,..BUILDIN¢,, OR/SEPTIC INSTALLATION 9EGINS <br /> <br /> REMARKG: SE, STAN~)ARD, ORIG(NAL AND'SAND. FILTER REPLACEMENT, <br />-zI)[tNAL~' E. WOODLEY, MARION COONTY ~UIL~I)~JOFFIC~AL / ~f. _ ............................~....~ <br /> <br /> <br />