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SEPTIC PERMIT <br /> <br />DATE/TIME : 04/29/99 16:40 <br />TYPE : SP <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br />PAGE <br /> <br />99-02767 <br />ISSUED <br />04/29/1999 <br />04/28/2000 <br />1 <br /> <br />WORK DESC <br /> <br />ALTERATION --MOVING SYSTEM FOR NEW HOUSE <br /> <br />LOCATDR: U4ZWZb UUlUO <br /> CITY: MARION COUNTY <br /> <br />SITE ADDRESS : <br /> 19487 CASE RD NE AR <br /> <br />SUBDIVISION : <br /> <br />LOT: BLOCK: <br />MAP: 9 ZONE: EFU LAND USE: <br /> <br />TAX ACCOUNT : 41878-000 <br /> PARCEL SIZE : 4.7AC <br /> <br />OWNER <br /> ADDRESS <br /> <br />: BURNHAM,DENNIS A & ELENA <br />: 19517 CASE RD NE <br /> AURORA, OR <br /> 97002 <br /> <br />DEQ INSTALLER <br />ADDRESS <br /> <br />DEQ LICENSE: <br /> <br />PHONE <br /> <br />INITIAL SYSTEM: <br /> <br />REPLACEMENT SYSTEM: STANDARD <br /> <br />Units Description Fee <br />1 Alteration 400.00 <br />1 DEQ Surcharge 30,00 <br /> <br />PAYEE: BURNHAM DENNIS <br /> <br />Assessed fees : 420,00 <br />Adjustments : .00 <br />Total fees : 420.00 <br />Total payments: 430.00 <br />Balance due : .00 <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 365 DAYS FROM ISSUE DATE IF W~]RK HAS NOT <br />COMMENCED OR IF WORK FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY <br />ORDINANCES. <br /> <br />SIGNATURE OF APPLICANT: <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: (502)588-5147 24-hr Inspection Line: (503)373-~27 <br /> <br /> <br />