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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 /> <br />SEPTIC PERMIT <br /> <br />DATE/TIME : 18/81/96 16:16 PERMIT HO : 96-B72B9 <br />TYPE : SP STATUS : ISSUED <br />OCCUPANCY : R-3 ISSUED : 18/81/1996 <br /> TO EXPIRE : 18/01/1797 <br /> PAgE <br /> <br />~ORK [)~C : ST~) ~YSTEN/F~R ~/B~g OWEL! <br />S~F ADDRFSS : Ci'IY: MARION COUNTY <br /> <br />SUB~IlVISION : <br /> <br />CROSS SFREET : BARBARA <br /> <br />PARCEL NUWBKR : 741~10-020 <br /> PARCEL S~iZE : ';!.4AC <br /> <br />OWNER : DARI(~ JOHN <br /> <br /> LOT: BLOCK: <br /> <br />PROPERTY L O!:A'[OR: 08tW,._8r. 02600 <br /> ZONE: AR <br /> <br />AUI*H AGENT : KF].LEY KAY L. <br /> APDRESS : 380 ~ RE[;IS <br /> <br /> SLAY; )N~ OR <br /> PHONE : 7/,9-59',~4 <br /> <br />OEQ [NSI*A.. FR : <br /> <br />97:t83 <br /> <br />DEQ I ()ENSE: <br /> <br /> PHONE : 769'-591q4 <br /> <br />I~NITIAI_ SYSTEH: STANDARD <br />RFPI.ACEHFN'I* SYS'I'FM: STANDARD <br /> <br /> '- ~ .... ~ ~{'~CC~-~i~b~ <br /> <br /> Assess(~d fees 382.08 <br /> <br /> To~"a~l fees 382.00 <br /> Total paxmel'~ts: <br /> PAYEE: K~;LE'Y KAY I. Be~nce due <br /> <br /> *************************************************************************************** <br /> <br />THIS PERMIT IS NON-TRANSFERABLE ~D EXPIRES 365 DAYS FROH ISSUE ~TE IF WORK HAS HOT <br />COMMENCED OR IF WORK FAILS TO HEET ALL REQUIREHEHTS OF STATE LAWS AHD HARIOH COUNTY <br />OR~I~N~ES. <br /> <br /> SIGNA~'URE OF APPL.~CANT: <br /> ********************************************************************************************** <br /> DONALD E WOODLEY, HARION CllUN~Y BUIL])ING OFFICIAL / BY DFREiLIN <br /> <br /> <br />