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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 PERMIT <br />DATE/TIME : 12/19/97 12:26 PER~IT NO : ?7-8?694 <br />TYPE : SP STATUS : ISSUED <br />OCCUPANCY = R-3 ISSUED = 12/17/1997 <br /> TO EXPIRE : 12/17/1978 <br /> PAI;E <br /> <br />WORK DESC : STDS Tfl~TALI FOR FUTURF 3~R RFS (SF 97-0~235) <br /> <br />SITE ADDRESS : CITY: <br /> 28746 H~GHWAY 99F NE AR <br /> <br />SUBDIVISION : LOT: <br />CROSS STRFF'I' : OTTAWAY <br /> <br />PARCEl. NHH~ER : PROPERTY I.OCATOR: <br />PARCEL SIZE : .4AC ZONE: C <br />OWNER : UM~ENHOWER~DAVTD <br /> <br />AIITH AGENT <br /> ADDRESS <br /> <br />PHONE <br /> <br />: UMB~NHOWER~DAVID <br />: 207,~2 HIGHWAY 99E NE <br /> AURORA, OR <br /> <br />: 50~-678-~?~9 <br /> <br />97~02 <br /> <br />DEO IN.~TALLFR : B,RNDT/EHERSON EXCAVATING~ INCI)EQ .TCENSE: 34084 <br /> <br />PHONE : (58~) 26~-2555 <br /> <br />INITIAL SYSTEM: STANDARD <br />RFPLACEMENT SYSTEM: STANDARD <br /> <br />BLOCK: <br /> <br />Units ~escriotion Fee <br />-~ C~-ns~rt~ct:i on Fer'M~ t 352~ ~' <br />1 DE~ Surcharge 38.00 <br /> <br /> Assessed fees : 382.08 <br /> AdjustMents : .00 <br /> Tota~ f~es : 382.08 <br /> Total payments: 38~.00 <br /> PAYF[i: UMBENHOWER~DAV]'D Ba]anc~ due : .00 <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 365 DAYS FROH ISSUE DATE IF WORK HAS NOT <br />COMHENCED OR IF #ORK FAILS TO MEET ALL REOUIREHENTS OF STATE I./dJS AHD NARION COUNTY <br />ORPINANCES. <br /> <br /> SI(;NATHRE OF APPLTCANT: <br /> <br /> DONA!.O E WOODL[Y~ MARION COUNTY BIJIL..DING OFFICIAL / BY <br /> <br /> <br />