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MARION COUNI~ BUILDING INSPECTION <br />COMMUNII'Y DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE * Room 132 * Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br /> SEPTIC PERMIT <br />DATEiT~ME : 08t~1,/95 16:59 STATUS : ISSUED <br />PERMIT NO : 9§-14~0 APPLIED : ~7/18/1995 <br />TYPE : SP ~SSUED : ~8/~1/1995 <br />CLASS : TO EXPIRE : <br />OCCUPANCY : R~3 PAGE I <br /> <br />S~'TE A~)RES8 : CITY: HARISN COUN'f'Y DAL, Y RD NE AR <br /> <br /> SUI]D I' V T!rl ]: fIl,I ; <br /> CRO,S,S OTREET : AI:~MI)T RT) NE <br /> <br />PARCEL [qI,iPiFqii:a : 400~:1.--808 <br /> PARCEL, SIZE : :L.4 ~C <br /> <br />OWNER t,I~NE <br /> <br /> LO't: ): L.O[.I',,,; <br /> <br />:PROPERTY LOCATOR: ¢:~11,15~.CA00108 <br /> ZONE" AR <br /> <br />BURGESS~)lON R & KATI4LEEN N <br /> <br />AF. PL ]:CAI,IT <br />f4A14E ..., BURI;-ESS,DON R & KATI..ILEEN ;M <br />AO:OREOS : 2;'t88:1. S~]I-IULTZ R:I) NE <br /> PORTI_AND.~ OR <br /> <br />PHONI:_,: : <br /> <br />97802 <br /> <br />C.~I, IYRAC,IOR : BURGIEOS, 1)ON R & KATHLEEN H LICENSE: <br /> F'HONE : <br /> <br />INITIAL SYSTEM: <br />REPLADEHENT ,.~YSTLM,, STANDARD <br /> <br />STANDARI) <br /> <br />-~[ ..................... f,~,~/~fF L-~.i=[;TS-fT-p e r E): (, ..... <br />I I)E I;! 8urcha¥'ge <br /> <br /> Assessed 't"ee~ S87,, 06 <br /> Ad 'ius'b~en-bs , g)8 <br /> To~al feem ,.'587.08 <br /> To.,~I pay~e, nt ...... ~87,, ~.)~ <br /> ............................................................................................ ~&,!.~! r_~,..:~ L~L__& ........................................... ~. <br /> <br /> , <br /> ~ ~IA t) E., Wr)OI)LEY,, HAR'.rt]I,I r;OUNTY BtJI~L. DING OFFICIAL / BY THEAL <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRE9 ~65 DAYS FROM ISSUE DATE IF WORK HAS NOT <br />CO~HENCED OR IF WORK FALLS TO NEET ALL REQUIREMEHTS OF STATE LAWS AND MARION COUNTY <br />ORD INANC~. /] <br /> <br /> <br />