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MARION COUNTY BUILDING *INSPECTION <br /> <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 /> OH-SITE APPLICATION <br />DATE/TIME : 06/17/96 09:37 ACTIVITY HO 96-04347 <br />TYPE : SP STATUS APPLIED <br />OCCUPAHCY : R-3 SE APPLIED <br />PAGE : ] SP APPLIED 06/17/1996 <br /> TO EXPIRE 12/11996 <br /> <br />WORK DESC : MA,JOR RF.'PAIR <br /> <br />EXIST BEQROOMS: 3 PROPOSED 8EQROOMS : <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: <br /> <br />SITE Al)DRESS : CI!'Y: MARION COUNTY <br /> 1~572 GRIM RD NE AR <br /> <br />SOBDIV[SION : <br /> <br />[:ROSS STRFET : 99E <br /> <br />PARCEl. NUN'SER ~" 41055-~0 <br /> PARCEl SITE : 9.1AC <br /> <br />OWNER <br />NAME : ELIXIR INDUSTRIES <br />ADDRESS <br /> <br />97307 <br /> <br /> PHONE : <br /> <br />APPLICANT <br />NAME : AAA SEPTIC SERVICE INC <br />A~)DRESS : PO B~IX 20811 <br /> <br /> PHONE : ~Yo-bb4~ <br /> <br />OEO CONTRACTOR.- AAA SEPTIC, SERVi[CE INC <br /> / A[I:NT : AAA SEPTIC SERVICE INC <br /> PHONE : ,~90-5548 <br /> <br />L. OT: BI_OCK: <br /> <br />DEQ LIC,ENSE: <br /> OCCB: 0097176 <br /> <br />3~.00 <br /> <br /> Assessed fees : 210~80 <br /> Ad just~,~ents : .00 <br /> Total fees : 210.00 <br />PAYEE: AAA SEPTIC SflRVICE INC Total pax~ents: 21~.B~ <br /> Balance ~ue : .SS <br /> <br />THIS IS NOT A PERHIT. THIS APPL~TIOH MUST GO THROUGH A REVIEW PROCESS WHERE <br />SOIL, FEASABILITY AHD IHSTALLAT~ONJREQUIREMEHTS ARJ~ CHECKED PRIOR TO THE ISSUAHCE <br />OF A PERMIT. IT IS THE RESPON~/IBI, L_ITY OF THE APJ;~.'~CANT T.O.-~.~;URE THAT ALL <br />NECESSARY IHFORHATIOH IS PR~D~ AS ~ON AS~ REQ~MEN~ OF THE REVIEW <br />HAVE BEEN NET, YOU~WILL B~FZ~ ~ I // / / -- <br /> <br />DONA~ )) E. WOOI')LEY~ HAR:fON COLINTY ~:t. DINg OFFICIAL / BY MBULL <br /> <br />................ FOR OFFICE USE ONLY. THIS IS NOT A PERMIT .................. <br /> ZONE: IP PROPERTY LOCATOR: 041W27A 804~0 <br /> <br />SEPTIC REVIEW: DATE: ZONING REVIEW: DATE: <br /> <br /> <br />