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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Ohumh Street NE · R~m 132 · 8elem, Oregon 27~01-3670 <br />Offloe Houm: 3:00.4:30 · Phone: (50~) 8~8~147 · 24-HR Inepeetlon Line: (50,1) 373.442? <br /> <br />z ~5/t7/96 <br />;R-3 <br /> <br />13:41 <br /> <br />SEPTIC PER#IT <br /> <br />WORK DFfiC <br /> <br />~ITF ADDRFg~ <br /> <br /> DWELLING 3 BFDRN <br /> <br />I~SS .JAM~S WAY DR SE AM <br /> <br />CITY: MARION COUNTY <br /> <br />,RHRDIVIBION ~ CAMF[L IA HEIGHTS <br /> <br />LOT= 8 BLOCK: <br /> <br />CR088 STREET : ~HERMAN RD 8E NORTH PORTION OF ORIGINAL LOT 8 (PARCEL 2) <br /> <br />PARCFL. HOMRFR : 7~4]~-B71 <br /> PARCEl. ~TZE : 1.~AC <br /> <br />PROPERTY LOCAT,OR: <br /> ZONE: RS <br /> <br />OWNER NAMF : DOtlTHIT, RICK & DFRRA <br /> <br />APPLICANT <br /> NANF <br /> <br />: DOUTHIT, RICK & DERRA <br />: <br /> 57B5 $9TH CT BE <br /> SALEM, OREGON <br /> <br />PHOHF : 375-94]9 <br /> <br />97~1 <br /> <br />CONTRACTOR/ <br /> AGFNT <br /> <br />OEO I.ICENSE: <br /> OCCB: <br /> <br />PHONE : <br /> <br />7HITIAt. 8YffiTFM~ STANDARD <br />REPLACEMENT SYSTEM= ~TANDARD <br /> <br />t,I,D,~ts ,De?ription <br /> u0n~fhction"P'~rmtt <br /> DFO Surcharge <br /> <br />Fe~ <br /> <br />PAYFE: I)O!JTHIT, RICK & OFBRA <br /> <br />Assessed fees : 382.g~ <br />Adjustments : .~ <br />Total fees : 382.BB <br />Total payments; 382. B0 <br />Balance due : .~B <br /> <br />THIS Pt'RflIT 16 HOH-T~EP~I.E N4D ID[PIR~$ 36~ D~YS. FROfl:!I66UE D~TE IF ~ I,IA6 HOT <br />C0NI~HCE~ OR IF ~ F~ILE TO MEET fiLL REOUIREHEHYS OF ~T4TELN~ /~IDI4~RIOH COUHTY <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> <br />