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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 /> HAJORSEPTICREPAIR PERHIT <br />DATE/TINE = 07/~8/96 e7~5~ PERHIT ND : 9~r-~3980 <br /> : SP STATUS : ISSIJED <br />OCCUPN4CY : R-3 ISSUED A 07/~8/1996 <br /> TO EXPIRE z ~7/~8/1977 <br /> PA~E 1 <br /> <br />WORK DESC : MAJOR REPAIR <br /> <br />SITE ADDRESS : CITY: MARION COUNTY 5348 DUMORE DR SE AM <br /> <br />SUBDIVISION : <br /> <br />CROSS STREET : SILVERFALLS HY <br /> <br />PARCEL NUMBER : 75320-260 <br /> <br />PARCEl_ SIZE <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />· PHONE <br />LONTRACTOR/ <br /> AGENT <br /> <br /> 2.5AC <br /> <br />: HOLM, THOMAS E & BETTY R <br /> <br />HOLM,THOMAS E & BETTY R <br />5348 DUHORE OR NE <br />AUMSVILLE, OR <br /> <br />364-2330 <br /> <br />VALLEY SEPTIC SERVICE <br /> <br />PHONE : <br /> <br />LOT: BLOCK: <br /> <br />PROPERTY LOCATOR: 082W130 01000 <br /> ZONE: AR <br /> <br />97325 <br /> <br />BEQ LICENSE: 36786 <br />OCCB: <br /> <br />Units Description Fee <br />1 Ma3or Eepalr lB~.O~ <br />I OEO Surcharge 30.88 <br /> <br /> Assessed fees : 210.80 <br /> AdjustMents : <br /> Total fees : 210.88 <br /> PAYEE: HOLM,THOMAS E & BETTY R Total paxMents: 210.00 <br /> Balance due : .00 <br /> <br />THIS PERHIT IS NON-TRANSFERR~LE AND EXPIRES 365 DAYS FROH ISSUE SATE IF WORK HAS NOT <br />COHHENCES OR IF WORK FAILS TO NEET ALL REGUIREHENTS OF STATE LAWS AHD HARION COUHTY <br />ORDINANCES. <br /> <br />DONALD <br /> E <br /> WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY DFREILIN.J ~J"' <br /> <br /> <br />