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DATE/TIME <br />TYPE <br />OCCUPANCY <br /> <br /> AUTHORIZATION/MAJOR REPAIR PERMIT <br />09/21/99 10:59 PERMIT NO <br />SP STATUS <br />R-3 ISSUED <br /> TO EXPIRE <br /> PAGE <br /> <br />99-07369 <br />ISSUED <br />09/21/1999 <br />09/20/2000 <br />1 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />AUTH/FLD:MJR,DRAINFLD,REPLACE 3 BEDRM N/NEW 3 BDRM <br /> <br /> CITY: MARION COUNTY <br /> 10359 MILL CREEK RD SE AM <br /> <br />SUBDIVISION <br /> <br />LOT: BLOCK: <br /> <br />CROSS STREET <br /> <br />PARCEL NUMBER <br />PARCEL SIZE <br /> <br />OWNER <br /> <br />AUTH AGENT <br />ADDRESS <br /> <br />PHONE <br />DEQ INSTALLER <br /> <br /> PHONE <br /> <br />LEVERMAN RD <br /> <br />56383-000 <br /> 1.2AC <br /> <br />PROPERTY LOCATOR: 081WSiAAO1400 <br /> ZONE: AR <br /> <br />LYONS, OPAL <br /> <br />EARTHWORKS INC <br />PO BOX 12369 <br /> <br />SALEM, OR 97309 <br />390-8588 <br /> <br />K & K CUSTOM LAND DEVELOPMENT OEO LICENSE: 37961 <br /> <br />932-4175 <br /> <br /> Units Description Fee <br />1 Major Repair .00 <br />I Authorization w/Field Visit 250.00 <br />1 DEQ Surcharge 30.00 <br /> <br /> Assessed fees 280.00 <br /> Adjustments .00 <br /> Total fees 280.00 <br />PAYEE: EARTHWORKS INC Total payments: 280.00 <br /> Balance due : .00 <br /> <br />THIS PERMIT IS NON-T~NSFERABLE AND EXPIRES 365 DAYS FROM ISSUE DATE IF WORK 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: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />