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11857426
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Last modified
10/5/2023 2:12:53 PM
Creation date
9/20/2023 2:05:33 PM
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Permits
Permit Address
34893 NORTH FORK RD SE
Permit City
Lyons
Permit Number
555-21-010382-PRMT
Parcel Number
084E31 00100
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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SEPTIC <br /> SERVICE <br /> 2 YEAR PRESSURE SEEPAGE BED CONTRACT <br /> 844-571-2836 CCB# 155581 FAX 541-917-1861 AandBSeptic.com <br /> Parties: NAME A&B SEPTIC SERVICE <br /> (Dealer or Service Provider) ADDRESS PO BOX 444 <br /> CITY,STATE,ZIP CODE ALBANY,OR 97321 <br /> TELEPHONE 844-571-2836 <br /> E-MAIL att.oandm@gmail.com <br /> And: <br /> (Customer) NAME Jim Delapoer <br /> ADDRESS 34893 N.Fork Rd. <br /> CITY,STATE,ZIP CODE Lyons,OR 97358 <br /> TELEPHONE 541-974-4164 <br /> E-MAIL jimdelapoer@gmail.com <br /> System Location: ADDRESS 34893 N.Fork Rd. <br /> CITY,STATE,ZIP CODE Lyons,OR 97358 <br /> LEGAL DESCRIPTION <br /> Permit: REGULATORY AGENCY Linn County <br /> PERMIT NUMBER <br /> Date: October 25,2021 <br /> NOW,THEREFORE,in consideration of the terms,provisions,covenants and conditions contained herein,the Parties hereto <br /> agree as follows: <br /> 1.0 Performance of Services <br /> A&B Septic Service from here on known as"Authorized Service Provider"shall perform the following marked services if <br /> applicable: <br /> Clean all screens and filters X <br /> Pull all pumps,clean and reinstall X <br /> Calibrate pump and record pump cycles× X <br /> Test floats,alarms and controls X <br /> Monitor solids level in main septic tank X <br /> Inspect all electrical connections X <br /> Record Amperage Draw on pumps X <br /> Record Squirt Height on Laterals X <br /> Hydro jet and Power Flush sandfilter laterals X <br /> Inspect Drainfield X <br /> Monthly Flow Monitoring and Calculations at X <br /> no additional charge,customer to provide data <br /> Pressure Distribution Maintenance Contract <br /> Rev. 1.0, 0 2/14 <br /> A & B Septic Service <br /> Page 1 of 3 <br />
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