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11910723
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11910723
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Last modified
10/24/2023 8:00:11 PM
Creation date
10/24/2023 3:15:31 PM
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Permits
Permit Address
4087 WINTERCREEK RD SE
Permit City
Jefferson
Permit Number
555-21-011989-PRMT
Parcel Number
092W19 01300
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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• <br /> �r 1\i- _. ... r, rsa24 <br /> a,� ,ti rirF ay.5sr., <br /> t • - i � -I.!, 9.. cvs nu <br /> / �'ST•�•I y./; -.n far w 7}: <br /> gas 14t i• Sy �n`}1 .�J '�J7[.7• <br /> TOLL FREE 844-571-2836 CCBf 155501 FAX 541-917--1.861 AcandBSeptic.com <br /> 2 -Year AX2 O -RT Service Contract <br /> .:uu._ _ mn xi.•is:s. . ............_,. -.;___ ....fit ^ - sL�s v, r r.-..y+�rr,a.ar..�c.yrxw--<»..^...�...�--.•y <br /> For the State of Oregon <br /> Parties: <br /> .(Authori cd Aclvan I ex'"'Service Provider) <br /> NAME A&B SEP•fIC SERVICE <br /> ADDRESS PO BOX 444 <br /> CITY,STATE,ZIP CODE ALBANY OR 97321 <br /> TELEPHONE' 844-571-2836 <br /> E-MAIL aU.oandm is gmail.cimi <br /> And: <br /> (Customer) �Jl r+rght R.L.T <br /> NAME DAMA. CUR'I'ItIGPII', -t-tistee <br /> ADDRESS -198 ...:.. ..fIciK-nD g135 Paradise Hill Dr <br /> CITY,sTATI,ZIP.CODE- Tetrfer, OR '17392 <br /> TELEPHONE 40343941* ,503-q - Igoq <br /> E-MAIL t• t 1 1 <br /> System L damacurt rithte9 <br /> ocution: 1`Yla l l.corn <br /> ADDRESS IU87 WINTER CREEK RD.SE. <br /> CITY,STATE,ZIP CODE JEFFERSON,OR'97352 <br /> LEGAL DESCRIPTION <br /> Agency.Contact Information: COUNTY MARION COUNTY <br /> ADDRF.SS 5155-SILVERTON RD.NE <br /> CITY,STATE,ZIP CODE SALEM,OR 97305 <br /> TELEPHONE 503488-5147 <br /> E-MAIL <br /> Dale:December2l,2021 <br />
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