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DATE/TIME : 08/26/99 15:51 <br />TYPE : SP <br /> <br />UGB: SITE: <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />99-07062 <br />APPLIED <br />08/26/1999 <br />00/00/0000 <br />02/22/2000 <br /> <br /> LOCAIDH: 041WllCAD06DO <br />WORK DESC : AUTH/MINOR REPAIR TANK ONLY FOR MANF HM 99-07061 CITY: MARION COUNTY <br /> <br />EXIST BEDROOMS: 2 PROPOSED BEDROOMS : 2 ZONE: AR <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: MAP: 3 <br /> [AND USE: <br />SITE ADDRESS : <br /> 13771 WISTERIA DR NE AR <br /> <br />SUBDIVISION DEER CREEK EST LOT: 5 BL: 3 <br />TAX ACCOUNT R4675-6 PARCEL: .00 AC <br /> <br />APPLICANT CANTRELL HOWARD I DEQ INSTALLER: GRIFFITHS, JAMES -EXCAVATING INC <br />ADDRESS 8995 SW JAMIESON RD PHONE: (503) 263-8028 <br /> <br /> PORTLAND. OR 97225 DEQ LICENSE: 27464 <br /> PHONE 291-9016 <br /> <br />OWNER TRELOGGIN CARISA <br />ADDRESS 428 TOWNSHIP RD <br /> CANBY OR <br /> 97225 <br />PHONE 1-503-266-6347 <br /> <br /> Units Description Fee <br /> 1 Minor Repair .00 <br /> 1 Authorization w/Field Visit 250.00 <br /> 1 DEQ Surcharge 30,00 <br /> <br /> Assessed fees : 280.00 <br /> <br /> Adjustments : ,00 <br /> Total fees : 280,00 <br /> PAYEE: CANTRELL HOWARD I Total payments: 280,00 <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 CHECKED PRIOR TO THE ISSUANCE <br /> OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br /> NECESSARY INFORMATION IS PROVIDED. AS ~R~EN1/S OF THE REVIEW <br /> HAVE BEEN MET, YOU WILL BE NOTIFIED. <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 />