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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Chumh Street NE · Room 132 * Salam, Oregon 97301.3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inapeetion Uae: (503) 3734427 <br /> <br />OH-BITE RmPPLIC~TIOH <br /> <br />SUBDIVISION <br /> <br />CROSS STREET : WEST OF I-5 EXIST-EHLEN RD NE <br /> <br />PARCEL NUHBER : <br />PARCEL SIZE : 5.79 AC <br /> <br />LOT: BLOCK: <br /> <br />OWNER <br /> Al)DRESS <br /> <br />: HYDER~RALPH H <br />: 11884 EHLEN RD NE <br /> AURORA, OR <br /> <br />PHONE : <br /> <br />9730S <br /> <br />AtlTH AGENT <br />Al)DRESS <br /> <br />: ACE SEPTIC & EXCAVATINg INC <br />:-PO BOX 9891 <br /> <br /> BROOKS. OR 97385 <br />PHONE : 393-1e33 <br /> <br />DEG INSTALLER : ACE SEPTIC TANK SERVICE lEG LICENSE: 33~13 <br /> <br /> PHONE : (503) 393-1033 <br /> <br /> Units Description Fee <br /> 1 Minor Repair <br /> ] lEg Surcharge 30.00 <br /> <br /> Assessed fees <br /> ~j~Stments <br /> Total'fee~ <br />PAYEE: ACE SEPTIC & EXCAVATINg INC [o~al payments: <br /> ~aiance aue ,: <br /> <br />THIS I8 NET h PERHIT. THIS hPPLICAIIOll ~8T ~0 1]~;~ ~, I~VIBi F~OC~ #~ <br /> <br />*************************--**--***--****--************************** <br /> <br />~TIC ~VI~ ~ Z~[~ ~1E~ ~ <br /> <br /> <br />