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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 · Phons: (503) 588-5147 · 24.HR inspecUon Lime: (503) 373.4427 <br /> <br />I'L'4dOR SEPTIC RFPAIR Pt*I~IT <br />T~EE/TIHE = te/l~l,/?& ~:se PERHZT HO = <br />: ~ STATUS : ISSUED <br />OCCtJ~N4CY : ~-~ ZSSUO : <br /> TO EXPII~ : 1~/~1/1~7 <br /> P~GE 1 <br /> <br />~ORK O~C : AUTH/HAJ FOR ~/~ED MO HAROSHTP <br /> <br />STTF AhPRF~ : C~TY: HARION COUNTY <br /> ~3~6 BENTS RD NE AR <br /> <br />CROSS STREET : EHI_~N <br /> <br />PARCFt NUNBER : 40~R-800 <br /> <br />PARCEl_ SIZE : 54.9AC <br /> <br />OWNFR HAHF <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />PHONF <br /> <br />,ON/RACTOR/ <br /> AGENT <br /> <br />PHONE : <br /> <br />LOT: BLOCK: <br /> <br />PROPERTY LOCATOR: 041W89 <br /> ZONE: EFU <br /> <br />: RACETTE, RALPH V & ADA L-TRUSTEES <br /> <br />RACFTTF.RALPH V & ADA L-TRLISTEE$ <br />PO BOX 518 <br />AURORA, OR <br /> 97882 <br /> <br />81880 <br /> <br />: RACETTE,RAI.PH V & ABA L-TRUSTEOEQ LICENSE: <br /> OCCB: <br /> <br />Units Description Fee <br />'I Majm"Repa~r .00 <br />] Author~zat~o~ w/Field V~sit 217.88 <br />1 OEQ Surcharge 30.80 <br /> <br /> Assessed fees : 247.88 <br /> Adjustments : .08 <br /> Tota] fe~a : 247. aO <br /> PAYEE: RACETTE,RALPH V & AQA L-TRUSTEES Total paxMents: 247.88 <br /> Balance ~ue · .88 <br /> <br />~EHPE~I~RI~FtiOiio/~RTRAIISrERA~LE AND EXPIRES ~5 ~YS F~ ISS~ ~TE IF ~K H~ <br /> ~T <br /> <br />D(INALD F WO(1DIFY, MARION COIINTY BII][~IN[; OFFICIAl / BY MBULL <br /> <br /> <br />