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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 Houre: 8:00.4:30 * Phone: (503) 588-5147 · 24-HR Inapectlon Line: (503) 373-4427 <br /> <br />r~H-SITE APPI.ICATIrJN <br /> <br />SATF/TTHF <br />TYPE <br />OCCI~AHCY <br />PArE <br /> <br />: 1J/RS/9& (~=~? ~TIVITY ~ = 96-~8725 <br />: ~P STATUS : APPLIED <br />: R-3 SE APPLIED <br />: ! SP APPLIES : <br /> TO EXPIRE : ~/~4/~?~7 <br /> <br />WORK ~FSC ~ <br />FXT~T FMPIOYFF~ <br /> <br />SS: MINOR TANK RFPI <br /> <br /> 4 PROPfISEO 8EOR~0MS : <br /> PROPORFP EMPIOYFFR: <br /> <br />P~7~ OIMSI'FAP RP NF AR <br /> <br />CITY: MARION COUNTY <br /> <br />SIJBOTVI~ION e <br /> <br />CROSS ~TRFFT : YFRgFH RD NORTH OUT OF DONAI D <br /> <br />PARCEl. NIIMBER : 7478~-,1~8 <br /> PARCFI gI7F : ~,~ 4~AC <br /> <br />LOT: BLOCK: <br /> <br />OWNER : REAGAN. HARTY W <br />A~RFR~ : ?~7~ OI MRTRFAP RD NF <br /> AIJRORA~ OR <br /> 97132-6~4 <br />PHONE : f5~3-~7~-2~55 <br /> <br />AIITH A~FNT <br /> <br /> PRTCF RZTF SFPTTC SFRV~CF, INC.. <br /> 1R~2~ NF Hills~d~ Or~v~ <br /> <br />DFO IN9TAIIFR :PRTCF RITF SFPTIC SFRVTCF', ~NC. DFQ LICENSE: <br /> <br /> ~FO <br /> <br />1~0.~0 <br /> 3~.00 <br /> <br /> Assessed fees 1~0.00 <br /> Adju~tmP~ts .00 <br /> <br />PAYFF: PRICF RTTF SF'PTIC SFRVICF~ INC. Tota) paxMents: 130.80 <br />Balanc~ ~ue : <br /> <br />THIS IS ItQT A PERNIT. THIS AP~.ICATIOH HUST gO THROUGH A REVIEI PROCESS WHERE <br />911T[~ FFA~ARI[ TTY AHD INSTAlLATiON RF~UIRFHFNTS ARE CHECKED PRIOR TO THE ISSUANCE <br />OF ARPERHIT.R ~T IS THE RESPOHSISILITY OF THE APPLICANT TO ASSURE THAT ALL <br />HFCF,~N~Y TNFORHATTOH IS PRODDED. AR SOON AS NL REQUIRE"ENTS OF THE REVIEW <br />HAVE SEEN HI{T, YOU WILl. SE N)~TIFTES.~ <br />~I~NATt;RE OF' APPITCANT: ~.~~_____/ ~- <br /> <br />DONAI D F. WO(1)~l FY, MARION COIINTY Bllll IWN60FFTC)AL / BY CLYNCH <br /> <br />................ FOR OFFICE USE ONI.Y. THIS lS NOT A PERHIT ................. <br /> HAP: ~R 70HF: FFU PROPERTY LO~TOR: 841W18C BllSi <br /> <br />SEPTIC REVIEW: SATF: ZQHIHG RE. VIEW: SATE: <br /> <br /> <br />