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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 Une: (503) 373-4427 <br /> <br /> HIHOR SEPTIC REPAIR PERHIT <br />DATE/TItlE ~3/12/97 15:48 PERHIT HO : 97-~1577 <br />TYPE SP STATUS = ISSUED <br />OCCUPANCY R-3 ISSUED = ~/12/1797 <br /> TO EXPIRE : B3/12/1998 <br /> PAGE I <br /> <br />WORK DESC : MINOR REPAIR/REPLACE TANK <br /> <br />~iTE, A~RESS : CITY: MARION COUNTY 11536 HCCLE!.LAN LN SE AM <br /> <br />S[IB~)IVISIOIq : <br /> <br />CR!]SS STRFET : WEST STAYTON RI) <br /> <br />F'ARCF. L N[JHI~ER : 75440-220 <br /> F'A,~CE!_ SZ7E : ~I. 5~r4~,~SF <br /> <br />OWNER NAME : SMTLEY~E'tHE[ F <br /> <br />APPLICANI' <br />NAME : SMILEY~ EHTEL <br />A~)DRE~S : <br /> <br /> LO'E: BLOCK: <br /> <br />PROPERTY LOCATOR: O?2W13DA01000 <br /> ZOflE: AR <br /> <br />PHONE : <br /> <br />CONTRA[iT)R/ <br /> AGENT <br /> <br />: DON DAVi )SON CON,,TRULTI II~ <br /> <br />LICENSE: 37470 <br /> OCCB. <br /> <br />PHONE : <br /> <br />Ul~its De~t~i pi! <br />~[ ~ Repair <br />1 DEQ Sur ~hal*'ge <br /> <br />30.00 <br /> <br /> Assessed fees 1~0.00 <br /> Adjustments .00 <br /> l'ot~l fees 1~0.00 <br /> Total paxme~ts: 130.00 <br />FAYEE. SMILEY~ EHTEL Balance due : .00 <br /> <br />THIS PERHIT IS HON-TRAHSFERABLE AMD EXPIRES 365 ]I)AYS FRO~ ISSUE DATE IF WORK HAS NOT <br />COHI~EHCED OR IF #ORK FALLS TO MEET ALL REgUIREHENTS OF STATE LA~S AND HARION CSYNTY <br />ORDINANCES. <br /> <br />*************************************************************************************** <br />DONAL,O E WOODLEY, MARION COUNTY BUILD'lNG OFFICIAL / BY P~UNRO [~ <br /> / <br /> <br /> <br />