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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suite C * Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br />~TE/TIME : ~&/26/97 <br />TYPE f 8ESP <br />OCCUPAHCY : R-3 <br /> <br />16:28 <br /> <br />SEPTIC PERMIT <br /> PERHIT NO : 97-e2317 <br /> STATUS = ISSUED <br /> I9~UED : B6/26/1997 <br /> TO EXPIRE : ~/26/1998 <br /> P~,E I <br /> <br />WORK DESC : SE: SS FOR FUTURE DWELE. TNG SITE ADH 97-011 <br /> <br /> ~' CITY: MARION COUNTY <br />SITE ADBRF. S = -4)~rS'SILVER FALLS HY SE AM <br /> <br /> BLOCK: <br /> <br />SLI~DIVISION <br /> <br />CROSS STREET <br /> <br />PARCEL NUMRER <br />PARCEL SIZE <br /> <br />82NO AV/2ND FARH DWELLING AT 8637 SILVER FALLS HY SE <br /> <br />57268-0eB PROPERTY LOCATOR: 082W14 BOl~ <br /> 299.0AC ZONE: EFU <br /> <br />OWNER : FRANK LUMBER CO INC <br /> <br />AUTH AGENT <br />ADDRESS <br /> <br />PHONE : <br /> <br />INSTALLER : <br /> <br />BETHELL, JIM CONSTRIJCTION <br />JAMES BETHEL. L <br />6~91WALINA CT SE <br />SALEM OR 97381 <br />(583) 749-2417 <br /> <br />BETHELL, JIM CONSTRUCTION <br /> <br />EEO LICENSE: 35811 <br /> <br />PHONE : (583) 749-2417 <br /> <br />INITIAL SYSTEM: STANDARD <br />REPLACEMENT SYSTEM: STANDARD <br /> <br />Units Description Fee <br />1 Site evaluation <br />I Construction Per,it ~52.~8 <br />2 DEQ Surcharge 6e.88 <br /> <br /> Assessed fees : 782.88 <br /> Adjustments <br /> Total fees : 782.08 <br /> Total pa%nents: 782.~8 <br /> PAYEE: BETHELL, JIM CONSTRUCTION Balance ~ue : .88 <br /> <br />T.Is PER.IT IS .~-T.A.SEE.A.LE ~. ~PI.ES ~ DA~ P.O. <br />C.~.~£D .IE .S.. ~AI~S TO ~E~ A~L .E~I.E.£~S ~-STATE LA~ A.. ~.~O. ~.~Y <br /> <br /> SIGNATURE OF APPLICANT: <br /> <br /> DONALD E WOODLEY, MARION CouNTy BUILDING OFFICIAL / BY PMUNRO ~'/ <br /> <br /> <br />