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Permit - 1305221
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Permit - 1305221
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Entry Properties
Last modified
4/8/2011 10:45:31 AM
Creation date
9/5/2003 8:25:00 AM
Metadata
Fields
Template:
Permits
Permit Address
11373 MILL CREEK RD SE
Permit City
Aumsville
Permit Number
94-01217
Parcel Number
081W32A 01900
Permit Type
Permit
Permit Doc Type
Permit Document
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Mario~ ~nt.y site <br /> <br /> ~a~eZully. <br /> <br /> a. Authorizatio~ Notice~ do not ~equice a field ins~c~lon of the <br /> Existing System Evaluations ~ r~&re a field i~ctlon of the <br /> entir~ system and a Near= will ~ i~ued. <br /> <br /> If your ~ewage system is ~re.than ~lve 15~ vear~ old a~ %he septic <br /> tank has not been ~ within zh~ last five [5) years, ~o1%ow the <br /> <br /> b. The septic ~ank pum~r must c~pleCe ~he form below. <br /> c. Authoriza~ion No=ices and ~xistia9 System ~valua~ions require <br /> field ins~o~iO~ tO verify the location and co~di~lo~ of <br /> <br /> ~ROPRRTY OWNER: Santiam Homes <br /> ~ROPERTY ~D~MM: 11373 Mill Creek Road, SE <br /> '.- Aumsv!~le~ Ore,on 97}~5 <br /> APPROXI~TE SIZE OF TANK~ i00,0 galloms <br /> S~PTIC <br /> <br />IS DlSPOS~ FIELD EACKING IN~ T~K? ... Xm~ ,, No. <br /> <br /> If "Tos-. ex~lala: AT TIME OF PUMPING, WATER LEVEL IN TANK TOO HIGH <br />D~AG~ OP HOUSE ~D SE~iC T~K= (shOw detail w~h meaSUrements) <br /> <br /> March 31,. 1994 <br />DATE OF PUI{P~NG <br /> <br /> <br />
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