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11190176
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Last modified
8/18/2022 2:19:28 PM
Creation date
8/11/2022 4:44:29 PM
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Template:
Permits
Permit Address
6688 LAKOTA LN S
Permit City
Salem
Permit Number
555-22-005434-PRMT-01
Parcel Number
083W20C 00400
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Carls Septic; LL <br /> Mailing Address 4742 Liberty Rd S #147 Salem, OR 97306 <br /> t ric Zade 503.910.6329 <br /> Work Date ihi To <br /> Phone Number <br /> Email: oix.4,-41) gak <br /> Pump Gallons $'° <br /> Power Snake / Clear Line $ Total Due <br /> Locate and /or Dig $ Pd# $ <br /> Inspection $ <br /> Other • $ Balance Due $ r <br /> yy <br /> Comments: ,#"7 �� <br /> THIS IS YOUR BILL AND RECEIPT. Payment is due at time of service. <br /> Finance charges of 3% per month on all unpaid balances after 30 days. <br />
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