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i:Y„—.. Marion County
<br /> 5155 Situation Rd NE
<br /> Salem,OR 95
<br /> /lartorz Septic Permit
<br /> county 503-588-5147
<br /> o Kt G.O.N Repair (Minor) - Residential - New Bulidngeco.marlon;or.us
<br /> Website:co.madonar.us
<br /> 555-23-004442-P RMT-01
<br /> Schedule or track inspections at www.buildingpermits.oregon.gov.
<br /> Call or text the word"schedule"to 1-B88-299-2821 use IVR Number:555022879916
<br /> Schedule using the Oregon ePermitt(ng;Inspection App,search"epermitting"in the app store
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<br /> applicant: Shafer,Daniel Primary contractor:Daniel Shafer
<br /> .ddress•• 8044 Wheatland Rd. N DEQ Installer/Maintenance Provider:M466
<br /> Keizer OR 97303 Address: 8044 Wheatland Rd.N •
<br /> hone: (971)600-5469 Keizer OR 97303
<br /> mail:. OFFICE@SANTIAMSEPTIC.COM Phone: (971)600 6469
<br /> ,usiness License: N/A
<br /> (AAA To,15
<br /> Iwner: 1 E) Property address: 22986 North.Fork Rd SE,Lyons,OR
<br /> ,ddress:. 1705 CHEMEKETA ST NE 97356
<br /> SALEM OR 97301
<br /> 'arcel:092E17BC01600-Primary
<br /> of size: N/A Water supply: Community Water Supply
<br /> .oning, N/A CltylCountyiUGB:. N/A
<br /> and use approval: N/A County: N/A.
<br /> action: New Type of application: Repair(Minor)-Residential:
<br /> system failing: N/A Septic tank last pumped: N/A
<br /> :omments: N/A
<br /> iategory of construction: N/A
<br /> ��'
<br /> Ise of structure: N/A , 3 bedroom home
<br /> lumber of bedrooms: N/A 3
<br /> system Specifications
<br /> 'ype: Alternative ATT description: N/A
<br /> ipeclai tank rgmts: needs control panel replacement
<br /> 3ondltlons of approval
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<br /> CALL BEFORE YOU nl0,.ti's 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
<br /> idinin►strationRules. You may obtain copies of the rules by calling the center.(Note:The telephone number far the Oregon Utility
<br /> totirlcatlon Ceriteris i-8OD332:2344 1
<br /> 77/23:12:04:17Pttq. ONS onsitoPormitpr 1
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