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Permit - 1271603
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Permit - 1271603
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Entry Properties
Last modified
11/26/2012 10:53:36 AM
Creation date
9/3/2003 8:36:25 AM
Metadata
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Template:
Permits
Permit Address
12173 STAYTON RD SE
Permit City
Aumsville
Permit Type
Permit
Permit Site Number
10414
Permit Doc Type
Permit Document
Status
Ready to Film
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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM: OREGON 97301 <br /> <br /> PHONE:: 588-5147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE 588-7904 <br /> <br />06//26/90 f' iME: 11:23:'18 <br /> <br />W~-LLS, JEFFERY <br /> <br />SITUS ADDRESS <br /> <br /> 12173 WES[ SFAYfON RD <br />&UMSVILLE OR 97325 <br /> <br />SE <br /> <br />USE OF BUILDING <br />MAILING ADDRE'~,~ <br /> <br />SI(2NATURE OF APPLICANT <br /> DATE <br /> <br /> TAX LOT <br /> <br /> CONSTf~UCTIQN TYPE <br /> <br />fviAR ,( F.>N 6OtJN1Y <br /> <br />SUBDI¢ISION <br /> <br />NO <br /> <br />RESI DEN( iAL <br /> <br />PHONE-- <br /> <br />SECTION TOWNSHIP <br /> 18 <br /> <br />ARE~. 87999983 UNITS <br /> <br /> SiTE NU~ER; 10414 <br /> VALUA r iON; <br /> <br /> RANGE ZONE <br />9S 1 W ~FLf <br /> <br />AC mREG ~,OT NO CO~N~O <br /> <br />MAR <br /> <br />TYPE: ON-SIf~ SEWAGE <br /> <br />P~RffliI OR APPLICATION <br /> <br />CONTRACTOR, NO_ <br />WELLS, J~FPERY <br /> <br />PHC~E: <br /> <br />24788 <br /> <br />WAIER SUPPLY: PW <br />YESF HOLES READY: <br />SIlL EWALUAIiON NUMBER: <br />EXISTING TANK ~iZE: <br />EXiSI~NG DRAIN ~iELD LINES: <br />5~PIIC rANK PUMPED: <br />PREVIOUS NO. BED~; <br /> <br /> I f ~rfl QUAN ! 1 f Y ANOUN/ <br /> REPAIR - ~JOR 1 $8(7,00 <br /> <br /> IO'TAL A~ESSED FEES $80.00 <br /> PREV;[OOS RECEIPTS $80. ~0 <br /> f'HIS R~CEIPT $0. ~0 <br /> <br /> 8AL~Cg ~E $0_ 00 <br /> PAYEE ~ RBCgIP~ NO: <br /> RECE1VEO BY: CL TYPE: C~ECK ~; 0 <br /> <br /> SEE AIfA~ED OOC~EN~ FOR RE~U~R~F~ DP ~-S~'f'~ S~WAGE SYSF~, <br /> <br />* TH~S t~ A VALID PE~IT · THI~ PE~T ~PiR~ 360 OA~ F~ iTS I~ ~TE. IF <br />~ST~CTI~ FAi~ TO MEET ALL R~IRBBTS OF STATE ~ ~D ~RI~ ~NTY BUILDING ~o <br />Z~ING ORDiN~C~, TH~S ~iT ~ALL 8~E NULL ~D ~ID. <br /> <br />REr'4ARK5: RAJOR REPAIR <br /> A~ <br />DYONALD E. WOODLEY, ~ARION COUNIY BUILDING OPPiCIAL / BY ~ ........ <br /> <br /> OFFICE COPY <br />FORM t~ MS 15-56 REV 4/90 <br /> <br /> <br />
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