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.,� Marion County <br /> 5155 Silverton Rd NE <br /> aogrz Septic Authorization Approval Salem, OR 97305 <br /> 503-588-5147 <br /> 555-20-008409-AUTH Building@co.marion.or.us <br /> O-R:E G o rr Website:co.marion.or.us <br /> Residential Authorization <br /> Date issued 5/13121 Date Expiring 5713122 <br /> Work Description FIRE PRIMARY RES AUTH MINFALT 3 BDRM,TO REPL BURNT 3 BDRM NEEDS TO REPL' <br /> CONTROL PANEL <br /> Applicant: LARSON,LEIF <br /> Address: PO BOX 516 <br /> GATES OR 97346 <br /> Phone: 760-485-0823 <br /> Owner: LARSON,LEIF Property Address: 624 W Central Ave, Gates, OR 97346 <br /> Address: PO BOX 516 <br /> GATES OR 97346 <br /> Parcel:093E27DC00300-Primary <br /> Authorization Notice for: Replacing One Dwelling with Another <br /> Lot Size: N/A Water Supply: Community Water Supply <br /> Category of Construction: Manufactured Dwelling <br /> y f <br /> Number of Bedrooms: 3 3 <br /> System Specifications: <br /> Max Peak Design Flow: N/A Proposed Gallons per Day: 450 gpd <br /> Special Requirements: <br /> Stake Out Required: No Pump to Drainfield Required: Yes <br /> CALL BEFORE YOU DIG...ITS THE LAW <br /> ATTENTION:Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth by Oregon Administration Rules. You may obtain copies <br /> of the rules by calling the center.(Note:The telephone number for the Oregon Utility Notification Center is 1-800-332-2344.) <br /> 5/13/21:11:23:28AM Page 1 of 2 ONS_OnsiteAuthorization_pr <br />