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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 265 Church Street NE * Roofn 132 · Salem, Oregon 97301-3670 <br />Office Hours; 8:00~4;30 · Phone; (503) 588-~147 * 24-HR inspection Line: (503) 588-7904 <br /> <br /> OH-SITE APPLICATION <br />9ATE/T[HE = 84/2L/95 89=37 STATUS : <br />PER~IT HO : Y§-1199§ APPLIE~ <br />TYPE : SP <br />CLA~S : TO EXPIRE = 18/18/1975 <br />8CCUPANCY : R-3 PAGE 1 <br /> <br />SITE ADDRESS : 18577 HATTHIEU LH AR CITY: HARIOH COUNTY <br /> <br />CROSS STREET : SOTTEVILL RD HE <br /> <br />~PPL~C~NT <br />NA~E ~ PRICE RITE ~PTIC SERVICE INC <br />k~RESS : 1~22B NE HILLSIDE ~R <br /> <br /> NE~BER~. DR <br /> <br />97132 <br /> <br />CONTRACTOR : PRICE RITE SEPTIC SERVICE INCi 0CC9:98541 <br /> <br />~ORK ~ESC : HAJ REP <br /> <br />U~its <br /> I <br /> <br /> 1 <br /> <br />~escriotio~ <br /> <br /> Pumper I~spection <br /> DEQ Surcharge <br /> <br />Fe~ iBB:'B~ <br /> <br />assessed fees <br /> <br />To,al fees <br /> <br />Da]ante due <br /> <br />DONALD E. WBDDLEY, MARION COUNTY BUILDING OFFICIAL / DY DFREILiN ~-- <br /> <br /> <br />