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MARION coUNTY*BUILDING INSPECTIO i <br /> COMMUNIT~ 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 />DATE/TINE <br />TYPE <br />OCCUPANCY <br /> <br />: 84/1Z/96 18:49 <br />: SESP <br />: R-3 <br /> <br />ON-SITE APPLICATION <br /> <br />ACTIVITY NO : 96-82416 <br />STATUS : APPLIED <br />APPLIED : 84/11/1996 <br />TO EXPIRE : 18/88/1~6 <br />PAGE I <br /> <br />WORK DESC <br /> <br />: SESP RELOC HOUSE AND DRAINFIELD IN ANOTHER AREA <br /> <br />EXIST BEDROOMS: 2 <br />EXIST EMPLOYEE: <br /> <br />PROPOSED BEDROOMS : <br />PROPOSED EMPLOYEES: <br /> <br />SITE ADDRESS : <br /> <br />CITY: MARION COUNTY <br /> <br />28772 OLMSTEAD RD NE AR <br /> <br />~UBDIVISION : <br /> <br />LOT: BLOCK: <br /> <br />CROSS STREET : YERGEN RD NE <br /> <br />PARCEL NUMBER : 74788-888 <br /> PARCEL SIZE : 13.8AC <br /> <br />OWNER <br /> NAME <br /> ADDRESS <br /> <br />: JOHNSON, ROBERT & KATHY <br />: <br /> 28772 OLMSTEAD RD NE <br /> AURORA, OR <br /> <br />PHONE : §83-678-1871 <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />: PRECISION ENTERPRISES'INC. <br /> <br />DEQ CONTRACTOR: PRECISION ENTERPRISES INC. DEQ LICENSE: <br /> / AGENT : PRECISION ENTERPRISES INC. OCCB: 8851636 <br /> PHONE : WK; 655-2758 <br /> <br />Units Description Fee <br />1 site evaluation 270.0B <br />1 Construction Permit 352.88 <br />2 DEQ Surcharge 68.88 <br /> <br /> Assessed fees : 782.88 <br /> Adjustments : .08 <br /> Total fees : 782.88 <br />PAYEE: PRECISION ENTERPRISES INC. Total paxments: 782.88 <br /> Balance due . <br /> <br />THIS IS NOT A PERMIT. I~IS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE <br />SOIL, FEASADILITY AND INSTALLATION REQUIREHENTS ~RE CHECKED PRIOR TO THE ISSUANCE <br />OF A PERMIT. IT IS THE RESPONSIBILITY OF THE.AF~ICANT TO ASSURE THAT ALL <br />NECESSARY IHFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br /> <br />SIGNATURE OF APPLICANT. ~ ~l~ <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDIN~ OFFICIAL / BY DSTONE~ <br /> FOR OFFICE USE ONLY. THIS IS NOT A PERMIT ......... <br />HAP: 4R ZONE: EFU PROPERTY LOCATOR: 841W18C 88188 <br />SEPTIC REVIEW: DATE: ZONING REVIEW: DATE: <br /> <br /> <br />