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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 265 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Pholle; (503) 588-5147 · 24-HR inspection Line: (503) 588-7904 <br /> <br /> SITE EVALUATION/SEPTiC PERNIT <br />OAT£/TIME : ~8/24/95 15:59 STATU~ :ISSUEO <br />PERMIT NO : 95-15075 APPLIED : 08/15/1775 <br />,::TYPE : Site Evaluation/Septic :Permit ISSUED : 08/24/1795 <br /> : TO EXPIRE : <br />OCC~PAMCY : R-~ PAGE <br /> <br /> SITE ADDRI::SS : CITY: HARION COUNTY <br /> 127,L ARNDT ~ NE AR <br /> <br />SUBDIVISION ." <br />CEO.SS STREET : CE 424 <br /> <br />PARCEL NUMBER : 48,..15-888 <br />PARCEL ,~IZE : 48.~ AC <br /> <br />OWNER NANE <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br /> FHONE <br />CONTRACTOR <br /> PHONE <br /> <br /> Units Descr~y~ioo <br /> 2 DEQ Surcharge <br /> <br />Lo'r: BL, OLk,; <br /> <br />PROPERTY LOCA'FOR: 041W0~ <br /> ZONE: EEU <br /> <br />: CAMIr~BELL, TIMOTHY J & 9HELLY L <br /> <br />~ CAMPBELL~TIMOTHY J & SHELLY L <br /> "J415 WESTGATE DR <br /> POF~TLAI'I~ ~ OR <br /> <br />: CAMPBE:L,L,~T:rHOTHY J & SHEL. I,,.Y L <br /> <br />97221 <br /> <br /> LICENSE. <br /> <br />'2-rf~?/TpF3- <br />70.00 <br /> <br />Assess~,d i"ees <br />A(:I jttstments <br />Total fees <br />Total <br />Balance ~ue <br /> <br />712,00 <br /> .00 <br />7:12.00 <br />712.,00 <br /> .00 <br /> <br />DONALD E. WOODLEY, MARION COIJNTY BUILDING OFEICIAL / BY 'rNEAL ~ <br /> <br />THIS PERMIT iS NON-TRANSFERABLE AND EXPIRES 365 DAYS FROM ISSUE DATE IF WORK HAS NOT <br />COMMENCED OR IF WORK FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY <br />ORDINANCES. <br /> <br /> <br />