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DATE/TIME <br />TYPE <br /> <br />04/27/98 11:50 <br />SP <br /> <br />ON-SITE APPLICATION <br /> <br />ACTIVITY NO <br />STATUS <br />SE APPLIED <br />SP APPLIED <br />TO EXPIRE <br /> <br />98-03221 <br />APPLIED <br />04/27/1998 <br />04/27/1998 <br />10/24/1998 <br /> <br />WORK DESC <br /> <br />EXIST BEDROOMS: <br />EXIST EMPLOYEE: <br /> <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br />PHONE <br /> <br />MAJOR REPAIR DRAINFIELD <br /> <br /> 3 PROPOSED BEDROOMS : <br /> PROPOSED EMPLOYEES: <br /> <br />6681 PETER RD SE AM <br /> <br /> LOT: BL: <br />75280-090 PARCEL: 2.14 AC <br /> <br />NICKLAUS,ARLISS A ET AL <br />6681 PETER ROAD SE <br />AUMSVILLE, OR <br /> 97325 <br />N/A <br /> <br />LUCAIUR: UB1W19C g2UUU <br /> CITY: MARION COUNTY <br /> <br /> ZONE: AR <br /> MAP: 48R <br />LAND USE: <br /> <br />OWNER <br /> ADDRESS <br /> <br />PHONE <br /> <br />NICKLAUS,ARLISS A ET AL <br />6681 PETER ROAD SE <br />AUMSVILLE, OR <br /> 97325 <br />N/A <br /> <br />DEQ INSTALLER ACE SEPTIC TANK SERVICE DEQ LICENSE: 33013 <br /> PHONE (502) 393-1023 <br /> Units Description Fee <br /> I Major Repair 180.00 <br /> 1 DEQ Surcharge 30.00 <br /> <br /> Assessed fees 210.00 <br /> Adjustments . O0 <br /> Total fees 210.00 <br />PAYEE: NICKLAUS,ARLISS A ET AL Total payments: 210.00 <br /> Balance due : .00 <br /> <br />THIS IS NOT A PERMIT, THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE <br />SOIL, FEASABILITY AND INSTALLATION REQUIREMENTS ARE C~CKED PRIOR TO THE ISSUANCE <br />OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPL~d~I~T}TO ASSURE THAT ALL <br />NECESSARY INFORMATION IS PROVIDED, AS SOON AS A~t~REO~IREMENTS OF THE REVIEW <br />HAVE BEEN MET, YOU WILL BE NOTIFIED. ~ /~ / <br />SIGNATURE OF APPLICANT~~~~~.~___~ <br />DONALD E, WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY PBREMER <br /> <br /> Marion County Building Inspection <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 /> <br />