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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 H[~CEI.I.ANEO!JS <br />PATE/T]HF : ~Z/~4/77 14:5~ PERMIT NO : ?7-61447 <br />TYPE : STATUS = ISSUED <br />OCCLIPAHCY = R-3 ISSUED = 03/~4/1~7 <br /> TO EXPIRE <br /> PArE i <br /> <br />WORK DFSC <br /> <br />EXIST BFI)ROOMS: <br />EXIST FMPIOYFF: <br /> <br />SITE A!)QRESS : <br /> <br />RF~NSPFCI'ION FFF FOR 97-88574 <br /> <br /> PRPOSEB BEDROOMS : <br /> PROPOSFD EMP[ OYFFS: <br /> <br />20R34 WA[ NUT ST NF AR <br /> <br />CITY: AURORA <br /> <br />SO~OIV'[SION <br /> <br />CROSS STRFFT <br /> <br />PARCKI, NIJMBER <br />PARCFI SI7F <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRFSS <br /> <br />PHONE <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONF <br /> <br /> LOT: BLOCK: <br /> <br />9~t98-~40 PROPERTY I.OCAI'OR: 041W13CA02600 <br /> ,OAC ZONE: RS <br /> <br />TN~AI.I.S~S'I'EVE <br /> <br />CLINKSCALES SEPTIC SERVICE <br />JIMMIF LYON <br />PO BOX 1014 <br />MOtA[IA OR 970~8 <br />(5~3) B29-845B <br /> <br />CI INKSCAJ ES SE'PTIC SFRVICF <br />CI.INK.~CALES SEPTIC SERVICE <br />(503) 829-8458 <br /> <br />I)FO LICFNSE: 36078 <br />OCCB: <br /> <br />I~n ~'~s t)escr LDtirm Fee <br /> <br /> Assessed 'Fees : .08 <br /> Adjustments : 25.00 <br /> Tot~] fees : 25.08 <br />" .... · ' P F ~f' <br />FAYEE, C [NKS,AI..S SEPTICS.RVTI,E Total oexMents: 25.88 <br /> B~] anr~ due : <br /> <br />******************************************************************************** <br />SI¢IqATIIRF OF APP[ ICANI. _ ................................ ~_~ <br /> <br />********************************************************************************** <br />DONAL)I F WOOD[FY~ MARION COONTY BUIkDING OFF~CIA[ / BY CLYNCH <br /> <br /> <br />