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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: (5~1) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> SEPTIC PERMIT <br />DATE/TINE : 82/13/97 12:28 PERHIT NO : 97-~895 <br />TYPE : SP STATUS : ISSUED <br />OCCUPANCY : R-3 ISSUED : 82/12/1797 <br /> TO EXPIRE = 82/12/1990 <br /> PP~E 1 <br /> <br />W~)RK DE'SC : 2 STD SYSTEMS FOR 2 RESTROOM/CONSESSION STAND BLDG <br /> <br />SITE APORESS : CITY: MARION COUNTY 28167 GRIM RD NE AR <br /> <br />SUEdllVISION : LOT: BLOCK: <br />CROSS STREET : BOONES FERRY RD. AT GRIM RD. <br /> <br />PARCEl_ NUMBER : ,~B,,,°12 ~;~ ~00~ PROPERTY LOCATOR: 841W22B 816~8 <br /> PARCEt s'.r2E : 5B.SAC ZONE: <br /> <br />OWNER : NORTH MARION SCHOOL DIST NO I5 <br /> <br />ALITH AGEN*! : NORTH MARION SCHOOL DIST NO 15 <br />ADORE!iS : R1 BX 272 <br /> AURORA~ gE <br /> 97802 <br />PHONE ~ 58J-~82-~87 <br /> <br />'t)EQ INSTALL .R : <br /> <br />DEQ LICENSE: <br /> <br /> PHONF : <br /> <br />INITIAL SYSTEM: STANDARD <br />RFPLACEflENT SYSTEM: SI'AN))ARD <br /> <br /> Lm~ts Descrip'['io~ <br /> 1 OEO Sur'char'~e <br /> <br />PAYEE',', NORTH MARION ,,CHOOL DIST 1'40 15 <br /> <br />Adjust~m~ts <br />TotaI fees <br />Total payments: <br />Bala¥~ce due <br /> <br />382.00 <br /> .08 <br />382.88 <br />382.80 <br /> .80 <br /> <br />THIS PERMIT IS NOH-TRAHSFERABLE AN~ EXPIRES 365 BAYS FROM ISSUE ~ATE IF WORK HAS NOT <br />COMMENCED OR IF gORK FAILS TO MEET ALL REOUIREMENTO OF OTATE LAWS AND MARION COUHTY <br />ORDINANCES. <br /> <br /> SICI'4ATURE OF APPLICANT: <br /> <br />DOh;At.D E WOODI.EY, MARION COlJNTY BUILDING OFFICIAL / BY'F'MIJNRO ~ <br /> <br /> <br />