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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lanceeter Dr. N.E. · Suite C * Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 ° Phone: (503) 580-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br />])~TE/TI~E <br />TYPE <br /> <br /> OH-SITE i~PPLICATIOH <br /> I ~6/S4/97 ~8"19 ~CTIVITY HO = 97-84~93 <br /> ~ ~ ~TU~ ~ APPLI~ <br />~Y ~ R-3 ~ ~PLIED ~ ~6/~4/1997 <br />P~GE ~ I SP AP~IED g ~/84/1997 <br /> TO ~P~ ~ 12/~1/1997 <br /> <br />WORK DESC : MAJOR REPAIR <br /> <br />EX,ST BEDROOMS: 4 PROPOSED BEDROOMS : <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 10236 MATTH~EU LN HE AR <br /> <br />SUBDIVISION : LOT: <br />CROSS STREET : BUTTEVILLE <br /> <br />PARCEL NUMBER : 48282-0,8 Iq q~ <br /> PARCEL SIZE : -~ ~ <br /> <br />BLOCK: <br /> <br />OWNER : ANDERSON,TIM A & KAREN A <br />ADORESS : 18236 MATTHIEU LANE NE <br /> AURORA, OR <br /> 97~5 <br />PHONE : 678-2998 <br /> <br />AUTH AGENT : ACE SEPTIC TANK SERVICE <br />ADDRESS : MAKE DARRAS <br /> PO BOX 9891 <br /> ~RDOKS OR 97385 <br /> PHONE : (503) 393-1033 <br /> <br />OEO INSTALLER : ACE SEPTIC TANK SERVICE <br /> <br />DEQ LICENSE: 33013 <br /> <br />PHONE : (503) 393-1033 <br /> <br />Units DescriptioQ Fee <br />1 Major Repair ' 18B.80 <br /> <br /> Assessed fees : 210.00 <br /> Adjustments : <br /> Total fees : 218.80 <br /> PAYEE: ACE SEPTIC TANK SERVICE Total payments: 210.08 <br /> Balance due : <br /> <br /> THIS IS HOT ~ PERHIT. THIS APPLIC~ITIOH ~ GO THROUGH A REVIEW PROCESS WHERE <br /> SI)~L~ FE~S~I~IL~TY ~ INSTI~LL&TION REGUIRE~ENTS ARE CHE~E~ <br /> ~ ~ PE~T. ~T ~S ~ RE~SIB~LI~ ~ THE~C~T TO ~S~ ~T ~LL <br /> ~Y I~T~ ~ PRGV~. ~ ~ ~ ~NT5 OF T~ REV~E~ <br /> H~ B~ ~T~ Y~ ~LL~ <br /> S~GN~TUREOF ~PPL~C~HT: <br /> <br /> DONAL. B E. WOOOLEY, MARION COUNTY BUILDING OFFICIAL / BY HBULL <br />--' ............. FOR OFFI~ U~ ~LY. THIS 15 NOT R PERMIT ................ <br /> ~P: Z~: ~U P~ERTY LO~TOR: ~1~7 811~ <br /> <br /> LAND ~E CA~E NO: <br /> <br /> <br />