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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) 373-4427 <br /> <br />TYPE <br />DCCUPN4CY <br /> <br />= ~6/26/96 <br />'- R-3 <br /> <br />15{11 <br /> <br />SEPTXC PERflIT <br /> <br />PERHIT MO : 96-~3661 <br /> c ISSUF. J) <br />~ = ~6/26/1996 <br />TO EXPIRE -- ~6/26/1997 <br />Pt~,,E I <br /> <br />WORK DESC <br /> <br />SITE ADORESS <br /> <br />: STD/MD PLACEMENT 3/BED <br /> <br /> 7849 CARLETON LN SE AM <br /> <br />CITY: MARION COUNTY <br /> <br />SUBDIVISION : DITTERHILL TRACT <br /> <br />CROSS STREET : BARBARA <br /> <br />PARCEl_ NUMBER : 71040-091 <br /> PARCEL. SIZE : 2.0AC <br /> <br />OWNER NAME : LORE,DOUGLAS C <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />LORE, DOUGLAS C <br />11704 DITTER DR SE <br />AUHSVILI. E, OR <br /> <br />PHOHE : 769-2866 <br /> <br />LOT: BLOCK: <br /> <br />pROPERTY LOCATOR: 081W28C 00701 <br /> ZONE: AR <br /> <br />97325 <br /> <br />CONTRACTOR/ : DEn LICENSE: <br /> AGENT : OCCB: <br /> <br />PHONE : <br /> <br />INITIAL SYSTEM: STANDARD' <br />REPLACEMENT SYSTEM: SAND FILTER <br /> <br />Units Descriotion Fee <br />1.~ Construction ?ermit <br />1 DEQ Surcharge 30.00 <br /> <br /> Assessed fees : 382.00 <br /> Adjustments : .00 <br /> Total fees : 382.00 <br /> Total payments: 382.00 <br /> Balance aue : <br />PAYEE: .LORE,DOUGLAS C .00 <br /> KREI~ER'GARY <br /> <br />E PERMIT IS HOH-TRAHSFER~diLE N4D EXPIRES 365 IHtYS FROtl ISSUE D~tl'E IF MORK H~S HOT <br /> HCE]) OR IF MORK FAILS TO BEET ~LL REGUI~HTS OF STATE LNJ5 N4D I~ARIOH COUNTY <br /> <br />ORDIN~OES. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E WOODLEY, MARIOH COUNTY BUILDING OFFICIAL / BY HBULL <br /> <br /> <br />