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11189694
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11189694
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Last modified
8/18/2022 1:46:22 PM
Creation date
8/11/2022 11:14:18 AM
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Template:
Permits
Permit Address
3495 BERGMAN PL SE
Permit City
Salem
Permit Number
555-21-010192-PRMT
Parcel Number
082W30 00500
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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SEPTIC VALLEY Invoice <br /> SERVICE SEPTIC SERVICE <br /> P.O. Box 444 <br /> Albany, OR 97321 <br /> Invoice# 51937 <br /> Date: 4/30/2021 <br /> Terms: Net 30 <br /> MIKE & HEIDI WISE <br /> _: "' Due Date: 5/30/2021 <br /> 3495 BERGMAN PL SE E C V <br /> SALEM OR 97317 <br /> OCT 08 20211179 <br /> 21- f ( Z <br /> 3495MARION Ui j BERGMAN PL SE <br /> SALEM, <br /> �I.�IL®I�(���Co PECTIONy <br /> Service Address: OR 97301 <br /> Units ' 3 Descn tion Rate Serviced . Amount <br /> gotopieg <br /> 1 LABOR TO LOCATE& EXPOSE SEPTIC 95.00 4/15/2021 95.00 <br /> TANK LID. <br /> 1,400 4/15 ;PUMPED 1,000 GALLONS FROM 0 40 4/29/2021 560 00 <br /> 333 i 4 <br /> SEPTIC TANK ABOVE OPERATING' <br /> LEVEL BAFFLES'IN.PLACE <br /> CONFIRMED IN FLOW RECOMMEND <br /> FURTHER INVESTIGATION ON OUTLET <br /> 111111:0011111111111SIDE OF TANK <br /> 4/29, PUMPED 400 GALLONS FROM = 3' °' <br /> SEPTICTANK �, , <br /> Invoke TotalM <br /> Thank you for choosing us,we appreciate your business. <br /> If paying by Credit Card please circle which card type and <br /> write your card number-in the space below or call our office. <br /> 1-866-927-1156. <br /> You can also pay online by going to our website: <br /> aandbseptic.com <br /> REMITTANCE ADVICE- PLEASE RETURN WITH YOUR PAYMENT <br /> Service Address: 3495 BERGMAN PL SE, SALEM <br /> • <br /> Invoice# 51937 <br /> A& B Septic Service Date: 4/30/2021 <br /> Terms: Net 30 <br /> P.O. Box 444 <br /> Albany, OR 97321 Card Type: (Please Circle Below) <br /> Visa / Mastercard CW# <br /> 1-866-927-1156 Card No: Exp: <br /> Signature: <br /> Total: Amount Enclosed: <br /> Page 1 <br />
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