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11857428
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11857428
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Last modified
9/28/2023 11:34:05 AM
Creation date
9/20/2023 2:05:42 PM
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Permits
Permit Address
9565 ELKHORN WOODS CIR SE
Permit City
Lyons
Permit Number
555-21-010181-AUTH
Parcel Number
093E02DD00500
Permit Type
Authorization
Permit Doc Type
Permit Document
Status
Ready to Film
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0.4 40,A) • <br /> 4 SEPTIC <br /> tivR F <br /> i SERV I C E <br /> TOLL FREE 844-571-2836 CCB# 155581 FAX ,541-917-1861 AandBSeptic. com <br /> 2 - Year AX20 -RT Service Contract <br /> For the St-ate of Oregon <br /> Parties: <br /> (Authorized AdvanTex®Service Provider) <br /> NAME A&B SEPTIC SERVICE <br /> ADDRESS PO BOX 444 <br /> CITY,STATE,ZIP CODE ALBANY OR 97321 <br /> TELEPHONE 844-571-2836 <br /> E-MAIL att.oandm@gmail.com <br /> And: <br /> (Customer) <br /> NAME ROBERT MELHOFF <br /> ADDRESS 4767 LISA ST.NE <br /> CITY,STATE,ZIP CODE SALEM,OR 97305 <br /> TELEPHONE <br /> E-MAIL M22CJC@AOL.COM <br /> System Location: <br /> ADDRESS 9565 ELKHORN WOODS CIRCLE SE <br /> CITY,STATE,ZIP CODE LYONS,OR 97358 <br /> LEGAL DESCRIPTION <br /> Agency Contact Information: COUNTY MARION COUNTY <br /> ADDRESS 5155 SILVERTON RD.NE <br /> CITY,STATE,ZIP CODE SALEM,OR 97305 <br /> TELEPHONE 503-588-5147 <br /> E-MAIL <br /> Date: July 6th,2020 <br />
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