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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Selem, Oregon 97301-3670 <br />Office Noure: 8:00-4:30 · Phone: (503) 588-5147 ° 24-HR Inepectlon Line: (503) 373-4427 <br /> <br /> SEPTIC PERMIT <br />DATE/TTME : 05/R1/96 14:~1 PERMIT NO : 96-02268 <br />TYPE : SP STATUS : ISSUED <br />OCCUPANCY : B-2 ISSUED : ~5/01/1996 <br /> TO EXPIRE : ~5/B1/1997 <br /> PAGE <br /> <br />Wi'IRK OFSC : S'i'ANO~R~ SYSTFN AT U ~ POST OFF~C~ <br /> 1~68~? OTT~WAY RD NF AR <br /> <br /> PHONE <br /> <br />CONTRAC'F~)R/ : <br /> AgE I,IT : <br /> <br /> PHONE : <br /> <br />: HFNCHFI ,RAN.I)AI <br />: TI-'IFi BI~SOI,t GROI.IF' <br /> F'O BOX 678 <br /> · q.'( )AH SF'R'(Nf;S, AZ <br />: ,,~.1 -,,.49-3(~3,, <br /> <br />JNJT!AI SYS'i'FM: STANI'IARD <br />I-~FY'I.ACENF.'FI'i" SYSTEH: STANI)ARD <br /> <br />BI...OCK: <br /> <br />F'I:,'OF'F RTY LOCATOIk: 041W13C Of LI(~S <br /> .th, l ::. ~- C <br /> <br />72 76'1. <br /> <br />OI:iQ I. '[CEI, ISE <br /> OC C:)3: <br /> <br />[ ni'ls I.')e.~c r Jj:,ti on Fee <br />J IIFQ Surch.~rge 3(~, <br /> <br />PAYEE: HENCHK!., RANI)Al. <br /> <br />Assessm~ fees : :J82,, f)O <br />Ad j us'h,'~en'(':s : .0~ <br />Tot'al fees : S82.~)9 <br />T(-,ta ] payp~orrbs: 382. G~ <br />Balancb due : .9~ <br /> <br />*************************************************************************************** <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 365 DAYS FROM ISSUE DATE IF WORK HAS NOT <br />COMMENCED OR IF WORK FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY <br />ORDINANCES. <br /> <br />****************************************************************************************** <br />OOFiAI..O F." WOfll)_::¥, MAR"ON Cl')Jt, ITY l.:t J :I:. !. I) '!: I, tF~ {:)F'F'TCT. A / B~ OFREILTt, t~~''' <br /> <br /> <br />