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MARION COUNTY BUILDING INSPECTION <br /> <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br />SALEM, OREGON 97301 <br /> <br /> PHONE: 588.-5147 8:00 - 4:$0 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />'DA?B: ...................... <br /> <br />STRAWII~ FAY W. <br /> <br />RE$II)ENT]iAL <br /> <br />TEST HOLE8 READY: <br />SITE EVALUATION NUMBER. <br />EXISTING TANK SIZE: .500 <br />EXISTING D~AIH FIELD L~NES~ <br />~£PTIC TANK PUMPED: 2~3/94 <br />FREVIOUS. NO, BEOROOHS. <br /> <br /> ITEM QUANTITY AHOLINT <br /> AUTHORIZATION NOT;~CE - FLD," VISIT' 1 <br /> TOTAL ASSESSED FEE~ <br /> ' PRE~[OU8 ~ECEIPT8 <br /> <br /> ~'"'""': ~ ' ' ' ''":"' RECEIPT <br /> P~YE~: STR~N. F~Y ~. ' ~. ,"", j'." ....:':. ',>.' <br /> RECE];VED BY: MB TYPE: OK CHECK ~ 2~39 <br /> <br /> SEE ATTACHED DQCUHENT FOR RE~IREHENT8 OF ON-~ITE ~EWAGE ~YSTEM, <br /> ~ THIS l$ NOT A PERH~T.' THIS' APPLICATI~' HUST"~ THROUOH A ~V~EW ~OO/SS WHERE THE <br />POLLO~ING,MUST BE COHPLETED..IT IS THE...RE~PONSIBILITY DF THE APPLICANT TO ASSURE THAT <br />A-. NECKS:gARY I~FOR~ATION HAS BEEN PROVIDED. · <br /> <br />OFFICE CO~Y <br /> <br /> <br />