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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Ghurch Street NE * Room 132 · Salem, Oregon 97301-3670 <br />Off[ce Hours: 8;00-4:30 · Phol~e: (503) S88-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br /> SEPTIC PERHIT <br />DATE/TIME : 03/21/95 15:59 STATUS <br />PERMIT NO : 95-te910 APPLIE~ <br /> <br />CLAS, = TO EXPIRE <br />OCCUPANCY : R-3 PAGE <br /> <br /> .................................................................................................................................................... <br />112['~'[~ ADDRESS : 10920 MARTIN LN NE AR C~TY (]ODE <br />CROSB S'['REET : F'][RST ST/BUTTEVILLE RD <br /> <br />PARCEl... NUMBER : 400].8-00~ <br /> NAME : THOMPSON,~GARY S & MOZELLE <br /> <br />AF F LI.{.,AI f <br /> ADI)RESS <br /> <br />: TFIOMPSON.~ARY S & HOZELLE <br />: 3.49,1,1 o -," <br /> ,:> ARMEL Dk.I.¥E <br /> [)REt;ON CI]'Y,¢ OR <br /> <br />PHONE <br /> <br />97126 <br /> <br />CON'TRACTOR : 'fHOMF'SON~GARY S ~, MOZELLE OCCB: <br /> r-"IqONE : DEQ: <br /> <br />INITIAL ,.~YSFEH. SfANDARD <br />REFLAC~.MENI SY,,S'FEM:~ STANDARI) <br /> <br />theirs <br />I ])EL1 Surcharge <br /> <br />Fee <br /> <br /> 35,. 00 <br /> <br />Assessed fees 387.00 <br />Ad ~ us~en~s .00 <br />Total fees ~87.00 <br />Total pa)9~e~'~:s: [~87. ~ <br />Ba 1 m nc ~!.~ .... ~ ......................................... ~_~.~. <br /> <br /> t)l'/llAI, }() Fz., WOO!OI EY~ MARION COUNTY BUILDIN(', OFF'fO'IAI. _ / BY ("LYNCH~ ~ <br /> <br />THIS PER~IT IS HOW-TRAnSFERABLE AND EXPIRES ~&5 ~AYS FRQH ISSUE ~ATE [F WORK HAS NOT <br />COMMENCED OR IF WORK FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARIQN COUNTY <br />ORDINANCES. <br /> <br /> <br />