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MARION COUNTY BUILDING INSPECTION <br /> COMMUNI'FY 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 />~Y ~ R-3 Z~ ~ e4/e7/l~7 <br /> TO ~PZRE = ~4/87/1~8 <br /> P~E 1 <br /> <br />WORK OESC : SS;MINOR REPAIR <br />SITE A~DRESS : CITY: HARION COUNTY <br /> 11884 EHLEH <br /> <br />SUBDIVISION : LOT: BLOCK: <br />CROSS STREET : WEST OF 1-5 EXIST-EHLEN RD NE <br /> <br />PARCEL NLIMBER : 40321-8~0 PROPERTY LOCATOR: 041W07C 0040~ <br /> PARCEL SIZE : 5. AC ZONE: EFU <br /> <br />OWNER : HYDER,RALPH M <br /> <br />AOTH AGENT : ACE SEPTIC & EXCAVATING IflC <br /> ADDRESS : PO DOX 9B71 <br /> <br /> BROOKS, OR 97305 <br /> PHONE : 373-1833 <br /> <br />DEQ INSTALLER : ACE SEPTIC TANK SERVICE <br /> <br /> PHONE : (503) 373-183~ <br /> <br /> Units Description <br /> 1 Minor Repair <br /> 1 DEG Surcharge <br /> <br />DEQ LICENSE: 33013 <br /> <br />Fee <br /> <br /> Assesse¢ fees : 130.00 <br /> Adjustments : .00 <br /> Total fees : 130.00 <br />PAYEE: ACE SEPTIC & EXCAVATING INC Total pax~ents: 130.00 <br /> Balance ~ue : <br /> <br />THIS AUTHORIZATION/NIH(IR REPAIR PERHIT IS HOfl-TRNJSFERABLE AHD EXPIRES 365 DAYS <br />FFRO~ I~A, IE D~TE. <br /> <br />~ONAI.D E WGODLEY~ MARION COUNTY ~UILDINI; OFFICIAL / BY PMUNRO ~ <br /> <br /> <br />