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MARION COUNTY BUILDING INSPECTION* <br /> COMMUNITY 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) 373-4427 <br /> <br />DATE/TIME <br />TYPE <br />OCCUPANCY <br /> <br />SEPTIC PERMIT <br /> <br />87/17/96 86:34 PERMIT NO : ?6-84987 <br />SP STATUS : ISSUED <br />R-3 ISSUED : 87/17/1996 <br /> TO EXPIRE : 87/17/1997 <br /> PAGE 1 <br /> <br />~ORK DESC <br /> <br />SITE ADDRESS <br /> <br />: ALTERATION FOR HARDSHIP MD <br />~714 SHAW SQ SE' AH <br /> <br />CITY: MARION COUNTY <br /> <br />SUBDIVISION : <br /> <br />3ROSS STREET : SILVERFALLS HWY <br /> <br />~ARCEL NUMBER 75308-978 <br />PARCEL SIZE 5.0AC <br /> <br />]WNER NAME ' FLOWERS, JERRY <br />~PPLICANT <br />HAME : FLOWERS. JERRY <br />ADDRESS - 8714 SHAW SQUARE RD SE <br /> AUMSVILLE <br /> PHONE-,~ : 505'5937 <br /> <br />;ONTRACTOR/ : <br /> AGENT : <br /> <br /> PHONE : 777-8228 <br /> <br />INITIAL SYSTEM: <br />~EPLACEMENT SYSTEM: STANDARD <br /> <br /> Units Descr. iption <br /> I1 Alteration <br /> 1 DEQ Surcharge <br /> <br />LOT: BLOCK: <br /> <br />PROPERTY LOCATOR: 082W14D 81188 <br /> ZONE: AR <br /> <br />97325 <br /> <br />DEQ LICE~iSE: <br /> OCCB: 88788.85 <br /> <br />' ~'t:' '* <br /> <br />38.88 <br /> <br /> Assessed fees : 378.88 <br /> AdjUstments : .88 <br /> Total fees : 378.88 <br /> ~o~al payments: 378.88 <br /> PAYEE: FLOWERS'JERRY ~aiance aue : ' .00 <br /> <br />THIS PERMIT IS HON-TRAHSFERAQLE AND EXPIRES 365 DAYS FROM ISSUE DATE IF WORK HAS NOT <br />COMftEHCED OR IF MORK FAILS TO MEET ALL REGUIREMEHTS OF STATE LAMS AHD MARIOH COUHTY <br />URDINAHCES. <br /> <br /> SIGNATURE OF APPL. IC~NT= <br /> <br /> DONALD E WODDLEY, MARION COUNTY BUll. DING OFFICIAL / BY MBULL <br /> <br /> <br />