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DATE/TIME <br />TYPE <br /> <br />UGB: SITE: <br /> <br />: 07/30/98 14:01 <br />: SP <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO : 98-06207 <br /> STATUS : APPLIED <br /> SE/SP APPLIED : 07/30/1998 <br /> ISSUED : O0/O0/O000 <br /> TO EXPIRE : 01/26/1999 <br /> <br />WORK DESC <br /> <br />EXIST BEDROOMS: <br />EXIST EMPLOYEE: <br /> <br />SITE ADORESS : <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br /> <br />OWNER <br /> ADDRESS <br /> <br />: TANK REPLACEMENT ONLY <br /> <br /> 4 PROPOSED BEDROOMS : <br /> PROPOSED EMPLOYEES: <br /> <br /> 6722 PETER RD SE AM <br /> <br /> LOT: <br /> 7528B-010 PARCEL: <br /> <br /> ACE SEPTIC TANK SERVICE <br /> MIKE DARRAS <br /> PO BOX 9091 <br /> BROOKS OR 97205 <br /> (502) 393-1033 <br /> <br />· STPJkWN.FAY W & DORTHEA G <br /> 6722 PETER RD SE <br /> AOMSVILLE. OR <br /> 97205 <br /> <br />LDCA[OR: UBIWL9 U1500 <br /> CITY: MARION COUNIY <br /> <br /> ZONE: EFU <br /> HAP: 48R <br />LAND USE: <br /> <br /> BL: <br />10.00 AC <br /> <br />DEQ INSTALLER: ACE SEPTIC TANK SERVICE <br />PHONE: (502) 293-1033 <br /> <br />DEQ LICENSE: 22012 <br /> <br />PHONE <br /> <br /> Units Description Fee <br /> i Minor Repair 100.00 <br /> i DEQ Surcharge 30.00 <br /> <br /> Assessed fees : 130,00 <br /> Adjustments : <br /> Total fees : 130.00 <br /> PAYEE: ACE SEPTIC TANK SERVICE Total payments: 130.0D <br /> Balance due : O0 <br /> <br /> THIS IS NOT A PERMIT THIS APPLICATION MUST GO THRDUGH A REVIEW PROCESS WHERE <br /> SOIL. FEASABILITY AND INST~U_LATION REQUIREMENTS ANE CHECKED PRIOR TO THE ISSUANCE <br /> OF A PERMIT. IT IS THE RESPONSIBILITY OF THE AP~LI~-~Alll~7~SURE THAT ALL <br /> NECESS/~RY INFC)RPLATION IS PROVIDED. AS S~)ON~,~L[ REQUIRErS, fITS OF THE REVIEW <br /> HAVE BEEN MET. YOU WILL BE NOTIFI_~J)~/ <br /> <br /> DONALD E. WOODLEY. MANIOl.~,...ivv,~,.,~v,,~v.,~./ BY <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 />