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I~cei~ed By: ' /. I/~
<br />' zonll,g v i o.
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<br />MARION cOUNtY BUILDING INSPECTION
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<br /> ~lem, OR~7~O1
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<br />~:00 a,m,. 4~0 pm pt~ee.5~l-5147
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<br />2, ~t~,~,etor Information
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<br />.~Commerclal (DSF - D~Iv ~ Flow~ S ,
<br />Site,,Ey.aluafiont tim 1000 fi*l. DiP 245.00 ~.00 ,
<br /> ..Si+" ~v*luati~m. c:~ nddL 500'F~d. ~ 75.00 20d)0Pill, '
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<br /> Standard ST_~.cm ks~i tksa 1000 ~si. DSF 245,00 10,00 ...........
<br /> CippI~g Fill 415.00 10.00
<br /> Disposal Ttenehe~'in 5~prolit~ . 245.00 10.00
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<br /> · ~cpa~ Trench ........ ~45.00, 10.00
<br /> Til~ ht~_~'~t System 350,00 ,, 10.00
<br /> ~'600 A~,I. DSF,-CI00I~!,D~ ' 'I00.00
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<br /> Rcpait~ Mi~ot ...... 75,00
<br /> Coruamc!io~ Pcrmlt Re~ewal'CFieM ¥ ~itO ,, lS0;00 , 10,00 ";
<br /> Con~tmcfion Pe~mlt ~,4:wlll ('l~o Field Vis'iii) ll,O0 10.00
<br /> ~xi~i~y.l~ ~,E~v~!/ton A~poa .,,,, lso~oo I0.00
<br /> XuthozlZ~tie. a NO~ (I~M Visit) 1~0.00 10,00'
<br /> Authotizsii0, N0!,i~,(bIo F~eld Visit) · 8S.00 10.00 - , ·
<br /> ~.usi ~valu~tto,. ~fAUematiw, System '"', ., i,S0..0p: I0.00
<br /> Annual EvaJa~tloo of Lame Sv'~em 90.00
<br /> Yum~r Track b~sm~tion. Fii'~ Im~ ltO~?0, .00
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<br />(M~ if Appriesble to this Applic~tlon)
<br />(t,,~'Tc~l Holes iLve Durt
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<br />( ~J am a ~igumd builder or ( ) th0 su~d ~m~ive ,,
<br />( )~h~r
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<br />~ tO l~l:~ll a~.ording to tho ~bmitted pi&as ~d spoci~c~o~s, the laws
<br />~th~ ~tc of~ ~d ~ o~in~ees of~ou Cou,~.
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<br />N~E OF APPLI~ ~lea~ print):
<br />SlGNk~ OF ~PLIC~, DATE:
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<br />MC 15.$I REV 2/93
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