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8615397
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Last modified
5/9/2019 8:40:18 AM
Creation date
5/8/2019 11:29:46 AM
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Template:
Permits
Permit Address
1114 63RD AVE NE
Permit City
SALEM
Permit Number
555-19-002634-PRMT
Parcel Number
072W21DD00100
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Marion County <br /> Certificate of Satisfactory Completion <br /> 5155 Silverton Rd NE <br /> /Marion Salem, OR 97305 <br /> cow Repair (Minor) - Residential - New 503-588-5147 <br /> Building@co.marion.or.us <br /> a e,E'C 0 N 555-19-002634-PRMT Website: co.marion.or.us <br /> DaI sre Issued:0510812019 x. <br /> .x z? Z AA1 <br /> n ;:';:t74.;-, <br /> Applicant: Ace Septic Tank Service Primary Contractor:Ace Septic Tank Service <br /> Address: PO Box 9177 Installer/Pumper License:33013 <br /> Brooks OR 97305 Address: PO Box 9177 <br /> Phone: (503)393-1033 Brooks OR 97305 <br /> Email: office@ace-septic.com Phone: (503)393-1033 <br /> Owner: SHAMBERGER,GENE ALBERT Property Address: 1114 63Rd Ave NE, Salem, OR <br /> Address: 4567 SW 163RD AVE 97317 <br /> ALOHA OR 97078 <br /> Parcel: 072W21 DD00100-Primary <br /> Lot Size: N/A Water Supply: Well <br /> Zoning: N/A City/County/UGB: N/A <br /> Land Use Approval: N/A <br /> Category of Construction: Single Family Dwelling <br /> t _ a..r_.,t -.,- ....W,.;. �....r> d�.,�..,�.w.'�.. ""''aa"_ GICE $t�7[ s,-. .`.. �...._.... ....... �,z.,.. r..' .�i;e'` a '.,,a. - � ;.; .'. _.,. :...• <br /> . <br /> Number of Bedrooms: 5 N/A <br /> System Specifications <br /> Type: Septic Tank Replacement <br /> Max Peak Design Flow: 525 gpd. Proposed Flow: N/A <br /> Min Septic Tank Volume: 1500 gal. Min Dosing Tank Volume: N/A <br /> 5/8119:9:31:28AM Page 1 of 3 ONS_OnsiteCSC_pr <br />
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