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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 /> MAJOR SEPTl[C REPAIR PERMIT <br />~TE/I'I#E '- ~71~1/96 ~8~46 PERMIT NO : 96-04159 <br />TYPE : SP STATUS ; ISSUED <br />OCCUPN4CY : R-3 ISSUED ; 07/81/1996 <br /> TO EXPIRE : ~7/~1/1997 <br /> PAGE 1 <br /> <br />WORK DFSC : RPR:MAJOR DRAIN LINE NOT WORKING <br />S TE AOORE S : Iqq% CITY: MAR 0. COONTY <br /> :I:9=~3E~'BUTTEVIL[E RD NE AR <br /> <br />SIJBBIVISION : LOT: BLOCK: <br />CROSS STREET : ST PAUL HWY NE <br /> <br />PARCEL NUMBER : 75790-888 PROPERTY LOCATOR: 041W30BA08300 <br /> PARCEl SIZE : 1.6AC ZONE: EFU <br /> <br />OWNER NAME : MEGY~FORREST <br />APPLICANT ~k~ <br /> .ANE : .EGY,FORREST 95%S <br /> 97002 <br /> PHONE : ~78-5995 <br /> <br />CONTRACTOR/ : MEGY,FORREST DEQ LICENSE: <br /> AGENT : OCCB: <br /> <br /> PHONE : <br /> <br /> Units Description <br /> 1 ~a~or ~epa~r <br /> 1 OEO Surcharge <br /> <br />Fee <br /> l~.~ <br /> 30.00 <br /> <br /> Assessed fees : 210.0~ <br /> Adjustments : .00 <br /> Total fees : 210.00 <br />PAYEE: flEGY,FORREST Total pa%merits: 210.00 <br /> Balance due : .00 <br /> <br />THIS PERHIT IS NON-TRANSFERABLE ~ID EXPIRES 365 DAYS FROH ISSUE DATE IF WORK HAS NOT <br />CO~I~ENCED OR IF #OR~ FAILS TO MEET ALL REGUIREMEHTS OF STATE LA~S AND MARION COUNTY <br />ORDII~d4CES. <br /> <br />DONALD E WOODIFY, MARION COUNTY BUILDING OFFICIAL / BY QFREtEIN(~ <br /> <br /> <br />