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Last modified
8/28/2024 3:27:12 PM
Creation date
8/26/2024 11:15:26 AM
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Template:
Permits
Permit Address
8028 JORGENSON LN SE
Permit City
Salem
Permit Number
555-22-010453-AUTH
Parcel Number
082W11D 03000
Permit Type
Authorization
Permit Doc Type
Permit Document
Status
Ready to Film
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r <br /> L <br /> --''''' ;Carl's Septic, LLC <br /> f <br /> Mailing Address 4742 Liberty Rd S#147 Salem, OR 97306 <br /> r Eric Zade 503.910.6329 '- <br /> }: To: Work Date I�9 fat 1 <br /> ' co28 <br /> 3G`" 731 Phone Number <br /> t; Email: <br /> h. <br /> c J <br /> -. Pump\� Gallons $ lltp6i�u <br /> Power Snake/Clear Line $ Total Due $CO - 1 <br /> r Locate and/o`t Dig- $ Pd# <br /> Y_. Inspection $e Other :K $ Balance Due $ (� <br /> 1 <br /> g N‘e— Ak&A_s 'elf/-.i' l — : <br /> :. . Comments: <br /> V ` 9 <br /> CE <br /> -- THIS IS YOUR BILL AND REIPT Payment is due at time of service: <br /> ' Finance charges of 3%per month on all unpaid balances after 30 days. <br /> .J <br />
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