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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 /> SEPTIC PERHIT <br />DATE/TIME : B5/08/97 14:§§ PERMIT NO 97-02477 <br />TYPE : SP STATUS ISSUED <br />OCCUPANCY : R-3 ISSUED ~5/08/1997 <br /> TO EXPIRE ~5/~8/1998 <br /> PAGE <br /> <br />WORK DESC : STO FOR ~/BED NEW ~WELL <br /> <br />S]'TE ADDRFSS : CITY: MARION COUNTY 11895 NOBLE t.N SE AM <br /> <br />SUI':i)IVISION : THE RANCH LOT: 7 BLOCK: 4 <br /> <br />CROSS STREET : STEINKAMP RD SE/BARBARA LN/EVIE (PARCEL <br /> <br />F'AROEL NHMBER : 74110-170 <br /> PARCEL SIZE : 1,OAC <br /> <br />PROPERTY LOCATOR: 081W28C 03500 <br /> ZONE: AR <br /> <br />OWNER : CROWL. EY, BEN <br /> <br />AUTH AGENI <br />A))gRESS <br /> <br />PHONE <br /> <br />: I..ARRY EHERY BUILDING CONTRACTOR <br />: 1265 DOUG[AS AVE <br /> STAYTON <br /> OR 97~8~ <br />: 769-61~4 <br /> <br />INSTALLER : <br /> <br />DEO LICENSE: <br /> <br />PHONE : <br /> <br />itNITIAL SYSTEM: SlANDARD <br />REPLACEMENT SYSTEM: SAND FILTER <br /> <br />Units Fee <br /> <br /> Desc r'_i~_t'i on <br />1 ,o~-~-~t r uc t io~ Permit ~2'.-i~l~ <br />1 DFQ Sur'charge 30.00 <br /> <br />PAYEE: <br /> <br />I.ARRY EMERY BUILDING CONTRACTOR <br /> <br />Asssssed fees <br />Adjustments <br />Total f~es <br />TotmI peywents: <br />Bmlmnce due <br /> <br />382.00 <br /> .00 <br />382.00 <br />382,00 <br /> .08 <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 365 ])AYS FROM ISSUE DATE IF WORK HAS NOT <br />COHHENCED OR IF WORK FAILS TO MEET ALL REOUIREMENTS OF STATE LAWS AND MARION COUNTY <br />ORDINANCES. <br /> <br />SIGNA'TURE OF' APPLICANT: <br />********************************************************************************** <br />DONAIJ) E WOODLEY~ MARION COUNTY BLIILDIN~ OFFICI'AI / BY FM~JNI:,~O~'/ <br /> / <br /> <br /> <br />