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y jt Marion County Building Inspection 555 Court St.N.E.,Room 2260,PO Box 14500 Salem, Oregon 97309-5036 Office Hours: 8:00-4:30 Phone: (503)588-5147 Inspection Line: (503)373-4427 Check your Permit Status On Line at:http://publicworks.co.marion.or.us/building/ SITE EVALUATION APPROVAL DATE: 04-02-2007 OFFICE: MC. TYPE: SE ACTIVITY NO: 07-01503 USE: R STATUS: APPROVED MAP: SITE: APPROVED: 04/02/2007 ZONE: WORK DESC: SE: PROPOSED UBDIVISION M37 06-39 LOT 2 OF 4 SITE ADDRESS: 954 C LOT DR S SL PARCEL: M APPLICANT: ALMENDINGER,DAVID & LINDA ADDRESS: 6316 NICKLAUS LP N KEIZER OR 97303 PHONE: 503-743-3256 OWNER: ALMENDINGER,DAVID & LINDA ADDRESS: 6316 NICKLAUS LP N KEIZER OR 97303 PHONE: 503-743-3256 OCCUPANT: ALMENDINGER,DAVID & LINDA INSTALLER: LICENSE NO: ADDRESS: PHONE: Description Fee Site Evaluation: Units Description Fee Rural Area Consideration: $400.00 Other Inspection Hrs: $0.00 Reinspecion Hrs: $0.00 DEQ Surcharge: $40.00 $0.00 Misc/Copy Fee: $0.00 Total Assessed Fees: $440.00 Adjustments: $0.00 Total Fees: $440.00 Total Payments: $440.00 Balance Due: $0.00 THIS IS NOT A PERMIT TO INSTALL A SEPTIC SYSTEM AND IS NON-REFUNDABLE. A PERMIT MAY BE ISSUED ONLY AFTER THE PROPERTY HAS BEEN FOUND TO BE COMPATIBLE WITH THE APPLICABLE LCDC ACKNOWLEDGED LOCAL COMPREHENSIVE LAND USE PLAN. SIGNATURE OF APPLICANT: X 2 WARREN D.JACKSON,MARION COUNTY BUILDING OFFICIAL/ P CM Vj CALL BEFORE YOU ATTENTION:Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.ThD Those rules es are set forth by Oregon Ad mistrattve Rules.You may obtain copies of the riles by calling the center. (Note:The telephone number for the Oregon Utility Notification Center is 1-800-332-2344).