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10512769
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Last modified
6/25/2021 8:00:14 PM
Creation date
6/25/2021 2:20:31 PM
Metadata
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Template:
Permits
Permit Address
10043 NORTH FORK LN SE
Permit City
LYONS
Permit Number
555-20-009347-AUTH
Parcel Number
093E11AB00100
Permit Type
Authorization
Permit Doc Type
Permit Document
Status
Ready to Film
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:`, •Septic Tank Pumping <br /> . e�.s Septj •Tank Inspections _ _„ <br /> ,. ill,WNick Homutoff t <br /> 15127 Evans Valley Rd. O <br /> Silverton, OR 97381 <br /> (503)873-3344DATE J 4..D" <br /> DEQ#34071 it c �'1g <br /> ` INVOICE <br /> -. Bill To: N. \(. --- �'_� LJ �`7d <br /> =: -T_ t,A) n 1 -) m c.. -1 0 <br /> v_ V OO .:�,- r l^; O . (3 7 <br /> p,.q. .Job Address: 0!acE <br /> � �_ ....✓'p <br /> FI1....-i ie - Cr! 3S <br /> -`DATE DESCRIPTION AMOUNT 'r <br /> • <br /> 4 n t6 . <br /> A.Q. hie 5-i x >2. X 40 = 1 1Sc3.,1105- <br /> L vuw+D S.9 o X ,2. .S:1':-..,. .;,.5-'''50 1i - -t '2153 `J0 <br /> y <br /> pts" if S 1i` i Y Y t i["' / <br /> f • 3 ( t. ; 1. �'u^^- _. F/� ! - <br /> IG .5 ^"-S mss ' t xda;f JF -9.. 4. l7 <br /> ii fi. ��y w <br /> i - r tIef1 is ,,, 100 i Ga .- f t0. [G` " <br /> LI! tt ) .;.rte f � � i <br /> ([ r ,-2§,...../ <br /> � 7. J <br /> Y3 ,, { l mo.. � <br /> S " ....,.;:._!,,,.,;:53,''... -A4--(..„_* '-J <br /> \ _ . (1 <br /> r_ 1efKt.L14 /Z+U" <br /> G <br /> All invoices due upon receiving-Please be prompt. TOTAL DUE 3 o� , <br /> - (Thank Oeu! <br />
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