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Marion County <br /> Septic Site Evaluation Application 5155 Silverton Rd NE <br /> 1'larion. , Salem,OR 97305 <br /> Country. 503-588-5147 <br /> Residential Site Evaluation Building@co.marion.or.us <br /> Q:R t'c 0:,i' Website:co.marion.or.us <br /> 555-24-006537-EVAL <br /> 1.Application.✓ M-44 1� '- rt :Aye_ Pg lam ,r F �. <br /> f <br /> ApicationStaus App'Submittetl " ' ;' <br /> w gkw7orrc��+on: ORM SF EPA T 2VO1 S ; <br /> kg 9't, �" A�� ' q <br /> Applicant: FUHRIMAN SEPTIC DESIGN& <br /> CONSULTING <br /> Address: 8727 SW 19TH AVE <br /> PORTLAND OR 97219 <br /> Phone: 435-760-0717 <br /> Email: tyler@fuhrimanconsulting.com <br /> Owner: HATHAWAY,AMBER MARIE Property address: 5133 Center St NE,Salem, OR <br /> JOHNSON 97317 <br /> Address: PO BOX 6140 <br /> SALEM OR 97304 <br /> Parcel:072W29AB01500-Primary <br /> Lot size: N/A Water supply: Well <br /> Zoning: N/A City/County/UGB: N/A <br /> Accessory Dwelling Unit: No <br /> Proposed use of structure: N/A <br /> Category of construction: Single Family Dwelling <br /> CALL BEFORE YOU DIG...ITS 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 Administration Rules.You may obtain <br /> copies of the rules by calling the center.(Note:The telephone number for the Oregon Utility Notification Center is 1-800-332-2344.) <br /> 8/16/24:4:16:42PM Page 1 of 1 ONS_OnsiteEvaluationApplication_pr <br />