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MARION COUNTY JBUiLDING 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 />registered builder OR { ) tF~e aulhorized representative <br /> <br /> HILLS~ KEVIN <br /> , <br /> <br /> [ <br /> -~ ~b~91g,5~ ................................................ <br /> <br /> PHONE: 8~4-37~7 <br /> <br />................... ~oc~ ~ s~a; ~w.~.,~: ' ) .~.~ ......... T~X~ ............. <br /> <br /> WATER SUPPLY: cw <br /> TEST HOLES ~E~Y~ YES <br /> ~Ilt[ EVALUATION HUMBER: <br /> EXISTI~& TAHK ~IZE: <br /> EXISTING DRAIN FIELO LINES: <br /> SEPTIC TANK PUHPED~ . <br />· PREVIOUS'NO'.' ~E.~EOOHS. <br /> <br />TYPE= DH-SITE SEWt¥1~E <br />pERHZT OR ~I>PLIC~TIOII <br /> <br />CONTRACTOR~ NO. 84745 <br />Kevin M Hills <br />PO Box 465 <br />~e~ro~t. 97342-08~8 <br />PHONE. 854-3797 <br /> <br /> $26~. BO <br /> <br /> $265,80 <br /> $0.80 <br /> <br /> $0.00 <br /> <br /> ~EE ATTACHE~ ~OCUNENT FOE' ~E~UIR~H[N~ OF ,ON:G.~E '.SEWAGE :SYBTEH. <br /> <br />ONSTEUCTION P/RM~T8 ~UST DE QBT~Z.NED .BEFORE BUZEDIH~, OR SEPTIC INSTALLATION BEGINS. <br /> <br /> ITEM I~ T" ... .... . ':-." : OUANTITY <br />STTE EVALUATION, FI ST,' L~.. i.. '. .'..".. ''.'...']' .'. "' '.. 1 <br /> <br /> '.{". ' · ,, PR~U~.:RE~PTS ' <br /> .. '." ".... '... ":.'.. ,:,'"-T~'S ',E~CEI'F~T'",': , <br /> ." .., .' '..,':'::',' :',. '.;. <br />P~YEE= Kev~g H H~lls ' .""" :. '""':'.' '.::':":'%['::"'"'.:':/",;'J.t'.~".':.:]/.A':':~' ,:: ~HVOZCE NO: <br />RECEIVED ~Y. PH ..... ~__":'.;2_~ -. =~;_&=:_~.....~._..-".'. ~ TYPE~ ~N CHECK <br /> <br />po~,,, # ~c ~-~ ~. ~ OFFICE COPY <br /> <br /> <br />