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MARION COUNTY BUILDING INSPECTION <br /> COMMUNI3~( 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 /> SEPTIC PERMIT <br />DATE/TINE = ~8/~1/96 1114~ PERHIT HO ; 96-&5448 <br />TYPE : SP STATUS : ISSUED <br />OCCUPANCY = R-3 ISSUED m ~8/~1/1976 <br /> TO EXPIRE ~ ~/~1/1997 <br /> PAGE <br /> <br />WORK DESC : STP INSTALL.- ONE DORM DWELLING <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 6~52 WALTNA CT SE AN <br /> <br />SUBDIVISION : ROLLING GREEN <br /> <br />CROSS STREET : AUMSVILLE HWY <br /> <br />PARCEL NUMBER : 7430~-218 <br /> PARCEL SIZE : 2.4AC <br /> <br />OWNER NAME : ZANDOFSKY,JOHN AND CHRIS <br />APPLICANT <br /> ~ HAME <br /> ADDRESS <br /> <br />LOT: 21 BLOCK: 2 <br /> <br />PROPERTY LOCATOR: 882W23B 82188 <br /> ZONE: AR <br /> <br /> : ZANDOFSKY. JOHN AND CHRIS <br /> : <br /> 6]8 PARKMEADOW LP <br /> KEIZER OR <br /> 973~3 <br /> PHONE : 393-3142 <br /> <br />C~NTRACTOR/ : <br /> AGENT = <br /> <br /> PHONE = <br /> <br />INITIAL SYSTEM: STANDARD <br />RFPL.ACEMENT SYSTEM: SAND FILTER <br /> <br /> Units De~t <br /> 1 DEQ Surcharge <br /> <br />DEQ LICENSE: <br /> OCCB: <br /> <br />Fee <br /> <br /> Assessed fees : 382.88 <br /> Adjustments : <br /> Total fees : 382.88 <br /> Total payments: 382.88 <br /> PAYEF: ZANDOFSKY,.IOHN AND CHRIS Balance due <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 365 ~YS FROM ISSUE DATE IF #ORK HAS HOT <br />COI~ENCED OR IF HORK FAILS TO NEET ALL REQUIREMENTS OF STATE L~ ~D ~IOH COUNTY <br />ORDI~CES. <br /> <br /> SIGNATIJRE OF APPLICANT: <br /> <br /> DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY DF'REILIN~ <br /> <br /> <br />