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Permit - 1286125
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Permit - 1286125
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Entry Properties
Last modified
3/2/2011 2:23:59 PM
Creation date
9/3/2003 5:11:06 PM
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Template:
Permits
Permit Address
9771 BROWNELL DR SE
Permit City
Aumsville
Permit Number
94-00649
Permit Type
Permit
Permit Doc Type
Permit Document
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MARION COUNTY BUILDING INSPECTION <br />B[--NATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-T904 <br /> <br />Other. <br /> <br />this document, <br /> <br />. ow~ER:DATE: 02/18/94 <br /> NICKS, GERALDINE <br /> <br /> 9771 BRONNELL DR BE ~wU~'~'. l~£b;~D~ <br /> AUNSVILLE OR 97325 ~MARION COUNTY ~ NO r <br /> <br />TIME: 11:A9:.16 .................... <br /> <br /> ~ 75290190 j RESIDENTIAL <br /> <br />PHONE: <br /> <br />;WIDTH: <br /> <br />BITE NUMBER: 94-00649 <br />VALUATION: <br /> <br />: 19 , 88 ,' iN ....... !48 <br /> 5. : AC NO ~ YES <br /> <br />TYPE: ON-BITE BEWAGE <br />PERMIT OE APPLICATION NO: 52888 <br /> <br />CONTRACTOr, NO. 34916 <br /> STAYTON SEPTIC <br />41155 STAYTON SCIO DR SE <br />STAYTON, 97383 <br />P~ONE: 769-2302 <br /> <br /> ITEN <br />~EPAIR - MAJOR ~ <br /> <br />PAYEE: <br /> <br />MATER SUPPLY: PM <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO~ BEDROONS: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br />BALANC~ DUE <br /> <br />QUANTITY ANOUNT <br /> i S125.00 <br /> <br />RECEIPT NO: <br /> <br />$125.00 <br />$225.00 <br /> $0.00 <br /> <br />$0.00 <br /> <br />RECEIVED BY: PB TYPE: CHECK 9; 0 <br />SEE ATTACHED DOCUMENT FOR REQU~REMENTSOFOM~BtTE SEWAGE SYSTEH. <br />* THIS IB A VALID PERMIT * THISPERNIT::EXPI~ES :360 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION FAILS TO NEET ALL REQUIREMENTS OF STATE LANS AND MARION COUNTY BUILDING AND <br />ZONING ORDINANCEB, THIS PERMIT SHALL BECOME NULL AND VOIDi <br /> <br />REMARKS: MAJOR REPAIR. INSTALL AS FAR UPSLOPE AS POSSIBLE TO AVOI~COMCAVE <br />DONALD E. WOODLEY, MARION COUNTY BUILDiMG OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br />LANDFORm. <br /> <br /> <br />
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