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MARION COUNTY BUILDING iNSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 288 Church t~H~reet NE · Room 132 * Salem, Oregen 97301-3670 <br />Office Hours: 8:0~-4:30 · Pholle: (503) 588-5147 - 24-HR [nspeetl~,ll Line: (503) 588-7904 <br /> <br /> SITE EVALUATION/SEPTiC PERHIT <br />OATE/3r[ME = ~8/24/95 [5:59 STATUS : [SSUE~ <br />PERMIT. MO : 95-150~5 APPLIED : ~/15/17~5 <br />,!,'"TYPE : Bite Evaluation/Septic Pereit ISSUE~ : 88/24/1995 <br />"~:'CLASS : TO EXPIRE : &S/23/1996 <br />;:i, 6C~UPRMCY = R-~ PAGE <br /> <br />!!-9ITC aDDRESS : CITY: HARIOIq COUNTY 12712 A~flDT RD NE AR <br /> <br />" SUBDIVISION : <br /> <br /> CBOSS STREET : CR 424 <br /> <br /> PARCEL ,NUMBER : 4~215-~00 <br /> <br /> P4RC~L <br /> <br />4PRL.ICANT <br />~DDRE$S <br /> <br /> PHONE <br /> <br />CONTRACTOR <br />' PHONE <br /> <br />= CAHP~ELL, TIMOTHY J & SHELLY L <br /> <br />LOT: BLOCK: <br /> <br />PROPerTY LOC~TOR: 041~03 009~0 <br /> ZONE: EFU <br /> <br /> CAMPBEL~T[NOTHY J & SHELLY L <br />~ ~415 WESTGATE OR <br /> PORTLAND~ OR <br /> <br />; CA~P~ELL~TIMOTHY J & SHELLY L <br />: <br /> <br />97221 <br /> <br />1 Cons~rttct~or~ Permit <br />2 DEQ Surcharge '' <br /> <br />Fee <br /> <br /> /oral fees <br />· [o~al paZments: <br /> ~aiance <br /> <br />712.00 <br /> <br />712.00 <br />712.08 <br /> <br />DONALD E. WOODLEY, MARION COUNTY BD%LDING OFFICIAL / BY TNEAL ~ <br /> <br />COMMENCED [Lq IF UORK FAILS TO MEET ~L ~QUIRE~S OF STATE LAWS AND MARION COU~Y <br />ORDINANCES. <br /> <br /> <br />