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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lanom~ter 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 PERflZT <br />D~TE/TIflE ~ 12/*1~/97 'lS~l~ PElleT NO : 97-~9459 <br />TYPE : SP STRTUS '. [SSIJED <br />~CCUPAI,ICY : R-3 ISSUEB : 12/1~'1997 <br /> TO EXPIRE I 12/1S/1998 <br /> P~GE 2 <br /> <br />~ORK DF. SC : SS:PERMIT <br /> <br />S.TI'E ADDRESS : CITY: MARION COUNTY <br /> 12986 MAPLE LEAF CT HE AR <br /> <br />SURDIVISION <br /> <br />CROSS STREET <br /> <br />PARCEL flI!~RER <br />PARCEL SIZE <br /> <br />OWNER <br /> <br />MAPLE LEAF LOT: 1 ~LOCK: <br />DOONES FERRY RD <br /> <br />77990-~B PROPFRTY LOCATOR: ~41W22CABISBB <br /> 3.5AC ZONE: AR <br /> <br />MCINT[RF WILLIAM & KATHRYN <br /> <br />AIJTH A~ENT : <br /> ADDRFS~ s <br /> <br />PHONE : <br /> <br />1)EQ INSTALLER : <br /> <br />JAMES GRIFFITHS EXCAVATING IHt <br />PO BOX 11~6 <br /> <br />CANBY. OR <br />263-8~38 <br /> <br />~RIFFITHS~ .lAMES -EXCAVATING ~Q LICENSE: 37464 <br /> <br />PHONF : (5B3) 26~-80~8 <br /> <br />INITIAL SYSTEM: STANDARD <br />REPtACEHENT SYSTEM: STANDARD <br /> <br />2 <br /> <br />Ilnt~s Oescrip~on Fee <br />1 ConS~ruc:~on P~rmi~ <br />1 DEQ Surcharge 30.g0 <br /> <br /> Assessed fees : 382.B0 <br /> Adjustments : .0~ <br /> Tota]. fee~ : Ze2. ee <br /> Total pay~ents~ 362.00 <br /> PAYEE: JAHFS GRIFF)THS FXCAVATING INC Balance due : .00 <br /> <br />TNIS PERMIT IS Mgm-TRaNSFERaBLE ~IHD EXPIRES ~6~ D~¥8 FROHISSUE ~TE IF #ORK N~S NOT <br /> <br /> SI~NflTI}R~ ~F APPI~ICAHT: <br /> <br /> DONAI.D E WOODLEY~ MARION COUNTY BUILDING OFFICIAL / BY P~ELL <br /> <br /> <br />