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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG- NO. 2P5 <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 />TYPE~ OH-SITE <br />P~flIT DR i~'PLiC~TISR NO: <br />CONTRACTOR. NO. <br />H~MPTON~ KELLY & VERNON.. <br /> <br />PNONE~ <br /> <br />532~t4 <br /> <br />WATER SUPPLY: P~ <br />~E~T HOLES READY: <br />SITE EVALUATION NUH~ER~ <br />EXISTIH~ TANK SIZE: 1000 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PU~PED~ 2/?/?4 <br /> <br /> :ITEH " - ' ' -" OUANTITY Af4OUNT <br /> <br />P~YEE ................ RECEIPT <br /> <br />SEE ~TTACHED DDCUHENT, FO~.:'~EgUI~eENTS;,OF-::~'=~ITE,..SE~Og, SYSTE~. . <br /> <br />REHARK$~ AUTH ..... <br />DONALD E. WOODLEY, MARION COUNTY BUILDING'OFFICIAL / 'DY <br /> <br />OFFICE COPY <br /> <br /> <br />