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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 /> SEPTIC PERHIT <br />OATE/TIHE = 97/~R/9~ 19;37 PER~ZT HO : 96-95556 <br />TYI~' = SP STATUS <br />flC~IIPAHCY = R-3 ~SSUED = 97/28/~976 <br /> TO EXPZRE ~ 97/28/~997 <br /> PAGE <br /> <br />WORK OEfiC : tiP: INSTAI.I.ATTOH <br /> <br />SITF Al)DRESS : CITY: MARION COUNTY 11~7S SIMPSON RD SE AM <br /> <br />SIIBI)IVIS]roN <br /> <br />CROSS STREET : SHERMAN RI) SE <br /> <br />PARCFL NI!HRFR : <br /> <br /> PARCEl, STZE : 2~,,8AC <br /> <br />OWNFR NAHF ; WIII ETTS, PAll[ <br /> <br />APPI,TCANT <br />NAMF : WI[ I FTTS PAUL <br />Al)DRESS : 11278 SIMPSON RI) SE <br /> AUMMVIttE OR <br /> <br />LOT: BLOCK: <br /> <br />PROPERTY LOCATOR: 081W2~ 01300 <br /> ZONE= EFU <br /> <br /> PHONE : 54]-74B-3466 <br /> <br />CONTRACTOR/ : OEQ LICENSE: <br /> AGFNT : OCCB: <br /> <br /> PHONE : <br /> <br />INTTIAt SYMTFM: STANDARD <br />REPLACEMENT SYSTEM: STANDARD <br /> <br />lln~ts Ppscr]pt~on Fee <br />I Construction Permit 352.~g <br />1 DFO Surchar§~ 30. B~ <br /> <br />PAYEE: W'I].LETTS PAUl, <br /> <br />Assessed 'Fees : ~82.08 <br />Adj[mtments = <br />Total fees : 382.80 <br />Tot~! p~ents: 382.00 <br />Balanc~ ~ue : <br /> <br />THIS PERHIT IS HON-TRAHSFERABLE /~ID EXPIRES 365 DAYS FROH ISSUE DATE IF NGRK H~S NOT <br />CO~NCED DR I~ ~ORK ~AIL$ TD HE~T ALL FEOUIR£HENTS OF STATE 1A~S AND HARION COUNTY <br /> <br />STGNATURF OF APPL TCANT: <br /> <br />DONALD IF WOOD[ FY, MARION COUNTY BtlILDTN[, OFFICIAl, / BY DFREILIN~ <br /> <br /> <br />