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DATE/TIME <br />TYPE <br /> <br />10/07/99 <br />SP <br /> <br /> SEPTIC PERMIT <br />16:40 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />SUBDIVISION <br /> <br />SS:ALTER/SEE EXPIRED INSTALL #98-00201 <br /> <br />12728 DONALD LOOP RD NE AR <br /> <br />LOT: <br />MAP: 5R <br /> <br />PERMIT NO :~~ <br />STATUS <br />ISSUED :' 10/07/1999 <br />TO EXPIRE : 10/06/2000 <br />PAGE I <br /> <br />LOCATOR: 041W22B 011UO <br /> CITY: MARION COUNTY <br /> <br />BLOCK: <br /> ZONE: EFU <br /> <br />LAND USE: ADM 96-27 <br /> <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br />OWNER <br /> ADDRESS <br /> <br />40928-000 <br /> 8.8AC <br /> <br />GREEN JOE <br />PO BOX 759 <br />PORTLAND <br />OR <br /> <br />97207 <br /> <br />DEQ INSTALLER <br />ADDRESS <br /> <br /> PHONE <br /> <br />INITIAL SYSTEM: <br /> <br />HICKS, JIM - EXCAVATION <br />JAMES HICKS <br />PO BOX 697 <br />CANBY OR 97013 <br />(503) 266-5975 <br /> <br />DEQ LICENSE: 36748 <br /> <br />STANDARD <br /> <br />REPLACEMENT SYSTEM: STANDARD <br /> <br />Units 'Description Fee <br />I Alteration 400,00 <br />I DEQ Surcharge <br /> <br />PAYEE: JOE GREEN INVESTMENT CO <br /> <br />Assessed fees : 430.00 <br />Adjustments : .00 <br />Total fees : 430.00 <br />Total payments: 420,00 <br />Balance due : .00 <br /> <br />THIS PERMIT IS NON-TRANSFEPJ~BLE AND EXPIRES 366 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 97305-1298 <br />Office Hours: 8:00-4:30 Phone: (503}588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />