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MARION COUNTY BUILDING INSPECTION
<br />COMMUNITY DEVELOPMENT CENTER
<br />
<br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670
<br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7004
<br />
<br /> SEPTIC PERMIT
<br />~)ATE/TIME 08/81/95 1&:52 STATUS ISSUEI)
<br />PERMIT NO 95-14527 APPLIE~) 87/25/1995
<br />TYPE SP ISSUED 88/8 ~/1 ~5
<br />CLASS TO EXPIRE ~7/~1/i~
<br />OCCUPAHC~ R-~ PAGE 1
<br />
<br />SI'TE ADDRESS : CZ'FY: MAR~ON COUN'fY 7878 SHERMAN F(~ SE AM
<br />
<br />:~t.J):DIV]S;IOii " DI'T"fER I'RACT NS2 LITE: EI...OCk,.
<br />CROSS ~ .......
<br /> ,:~TRE. Ir, T : JAMES WAY 'DR
<br />
<br />PARCEL 1,1UWBFR : 71050-062 PRORERTY LOLATOR,; 081W29D 0~402
<br /> RARCE:L SIZE : 2..,0 AC ZONE: AR
<br />
<br />NAME : WII...IqEI .M ~ PATRICK
<br />
<br />APF'I_:J: CAN'/
<br /> I,IAHE
<br />
<br />: WII..HELH,~ F'ATFi:I:CK
<br />: 11S44 JAMES WAY DR SE
<br /> AUM,:W II._L.E OR
<br />
<br />F'HONE : 749-3.L6,~.
<br />
<br />.0 IkALflll* : WILHEI..M~PAI'RICK L:[CENSE:
<br /> RHONE
<br />
<br />;[I'I:[TZAL SYSI'EH: S'TANDARI)
<br />REH_Af~EMElqT SYSTEM: STANDARD
<br />
<br />IIT~it:s Desr r ip'l::ior~
<br />.... ~ .................... [','~fiiiPE~¥fETT~'IS-~TFF¢~-
<br />1 'OEO Surcharge
<br />
<br />5'5 ,, r/)¢
<br />
<br /> A d j u s t' ~ ¢; w~: s , ~2) 8
<br /> T o'[?¢ J, f e es ;~ 87 ,, e (~
<br /> Total pay~ents: SS7.. 8~
<br /> ~ a t2[~2 - ~ZJ1.~('" ~ ......................................... !..~6.(~.
<br />
<br /> ~)'~N,ql i) E., WEIO~)I..E.Y~ MARION COUNTY BI)II..DIN6 OFF [,IAL / ~.~Y "¢NEAL
<br />
<br /> ........ , ..................... ,....,.., ,. ,.,, ,. ,........ ............... ,_~.. ................... ~ .................. ,,, .................................... , ,. ,.., _,..,. ,.,, ,,. ,,,,,,.,, ...................
<br />
<br /> PERMIT IS NO~-TRANSFE~ABLE AN~ EXPIRES ~5 ~AYS FROM ISSUE ~ATE IF WORK HAS NOT
<br />COMMENCED OR IF WORK FALLS TO MEET AEL REQUIREMENTS OF STATE LAWS AND MARION COUNTY
<br />OR~TNAWCES.
<br />
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