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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · SaFem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 ° 24-HR Inspection Line: (503) 373-4427 <br /> <br /> .~, SEPTIC PERHIT <br />])ATE/TIHE : 87/11/96 15=24 PERI'tIT HO = 96-84187 <br />TYPE = SP STATUS = ISSUED <br />OCCUPANCY ~ R-3 ISSUED = ~7/11/1996 <br /> TO EXPZRE = 87/11/1997 <br /> PAGE <br /> <br />WORK DESC : SP=PNESSURE DIST <br /> <br />SITE ADDRESS : CITY: MARION COUNTY 85~2 HI]LMQUIST RD SE AM <br /> <br />SUBDIVISION <br /> <br />CROSS STREET <br /> <br />PARCEL NUMBER <br />PARCEL SIZE <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />BATES RD SE: <br /> <br />56353-881 <br /> 1.5AC <br /> <br />BORNER, DONALD E & MARJORIE A <br /> <br />SCHMALTZ KEN <br />PO BOX 5241 <br /> <br />SALEM, OR <br />588-1115 <br /> <br />VALLEY SEPTIC SERVICE <br /> <br />97384 <br /> <br /> PHONE : <br /> <br />CONTRACTOR/ : AGENT : <br /> <br /> PHONE : (583) 588-1115 <br /> <br />INITIAL SYSTEM: PRESSURE DISTRIBUTION <br />REPLACEMENT SYSTEM: PRESSURE DISTRIBOTION <br /> <br /> Onits Oes~_ription <br /> ~onstruction Permit <br /> 1 <br /> gED Surchar§e <br /> <br />LOT: BLOCK: <br /> <br />PROPERTY LOCATOR: 081W31C 81201 <br /> ZONE: AR <br /> <br />DEQ LICENSE: 36786 <br /> OCCB: 8871161 <br /> <br /> Assessed fees : 558.80 <br /> Adjustments : .08 <br /> Total fees : 550.08 <br /> Total pay~mnts: 550.~0 <br /> PAYEE: SCHMALTZ KEN Balance due : .08 <br /> <br />THIS PERHIT IS HOH-TRANSFERA~LE AHD EXPIRES 365 DAYS FROH ISSUE DATE IF WORK HAS HOT <br />COHI~EHCE9 OR IF WORK FAILS TO HEET ALL REQUIREHEHTS OF STATE L~WS AHD HARION COUHTY <br />ORDII~HCES. <br /> <br /> SIGNATURE OF APPLICANT: <br /> **************************************************************__************** <br /> ~ONAL~ E W(IODLEY, MARION COUNTY BUILDING OFFILIAL / BY DFREILIN~ <br /> <br /> <br />