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11989610
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Last modified
1/2/2024 1:36:34 PM
Creation date
12/22/2023 10:54:17 AM
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Template:
Permits
Permit Address
13039 BETHLEHEM DR NE
Permit City
Gervais
Permit Number
555-22-010189-AUTH
Parcel Number
051W30AC02200
Permit Type
Authorization
Permit Doc Type
Permit Document
Status
Ready to Film
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Carl's Septic, LLC <br /> Mailing Address 4742 Liberty Rd S #147 Salem, OR 97306 <br /> CA Eric Zade 503.910.6329 <br /> To: .X,' c,t, Work Date k(4(4 'L1i <br /> QJ v,‘"1> 1C Phone Number <br /> Email: <br /> Pump\l� Gallons ,$ 411, <br /> Power Snake/ Clear Line $ Total Due $ <br /> Locate and /or Dig $ Pd# $ <br /> Inspection $ <br /> Other $ Balance Due $ <br /> %�"\ <br /> At <br /> Comments: 1 {5� �U{� � <br /> Qh 70 <br /> ?s 5\.\wry <br /> THIS IS YOUR BTLLAND RECEIPT.Payment is due at time of service. <br /> Finance charges of 3%per month on all unpaid balances after 30 days. <br />
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