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12009236
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Last modified
1/9/2024 2:18:37 PM
Creation date
1/9/2024 2:18:36 PM
Metadata
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Template:
Permits
Permit Address
4929 AUBURN RD NE
Permit City
Salem
Permit Type
Permit
Extra Information
Septic Tank Abandonment Form
Status
Ready to Film
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Mailing Address 4742 Liberty Rd S #147 Salem, OR 97306 <br /> Eric Zade 503.910.6329 <br /> To Work Date ilitici/V5 <br /> 't a\ Phone Number <br /> Email: <br /> Pump 1 1)13 Gallons $ 5 <br /> Power Snake / Clear Line $ Total Due $ 1.450 <br /> Locate and /or Dig $ Pd# $ <br /> Inspection $ <br /> Other $ Balance Due $ IfSZ <br /> Comments: <41,1 lob_teivaf <br /> (2 .5C3 <br /> THIS IS YOUR BILL AND 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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