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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suite C · Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 373-4427 <br /> <br />SEPTIC PERNIT <br /> <br />DATE/TINE <br />TYPE <br />OCCUPANCY <br /> <br />86/18/97 16=28 PERMIT NO = 97-~4864 <br />SP STATUS = ISSUED <br />R-3 ISSUED = ~/18/1977 <br /> TO EXPIRE <br /> PAGE <br /> <br />WORK DESC <br /> <br />SII*E ADDRESS <br /> <br />: NEW INSTAL[. <br /> <br /> 15150 PARK AV NE AR <br /> <br />SI~BDIVISiON <br /> <br />CROSS STREET : LIBERTY <br /> <br />PARCEL NHNBER : 40559-000 <br /> PARCEL SIZE : ,5AC <br /> <br />OWNER : SPARKS CONSTRUCTION <br /> <br />CITY: M~E~iG;4 C, GG;4T¥ <br /> <br /> LOT: BLOCK: <br /> <br />PROPERTY LOCATOR: 041W13 00500 <br /> ZONE: EFU <br /> <br />AUTH AGENT <br /> ADDRESS <br /> <br />PHONE <br /> <br />LEON POZNANSKI <br />SPARES CONSTRUCTION INC <br />P.O. BOX 188 <br />CANBY~ OR 97013 <br />50~-3~9-4277 <br /> <br />I)EO INSTALLER <br /> <br />DEQ LICENSE: <br /> <br />PHONE : 678-1763 <br /> <br />INITIAL SYSTEM: STANDARD <br />REPLACEMENT SYSTEM: SAND FILTER <br /> <br />U~l:i~s Description Fee <br />--[ Const~'uctio~ KerMit 352.00 <br />1 DEQ Surcharge 38.00 <br /> <br />PAYEE: <br /> <br />LEON POZNANSKI <br /> <br />Assessed fees : 382.00 <br />AdjustMents : .00 <br />Total fees : 382.00 <br />Total paxMents: 382.00 <br />Balance ~ue : .00 <br /> <br />TNIS PERMIT IS NOH-TRANSFERADLE AND EXPIRES 363 DAYS FRON ISSUE ~TE IF WORK HAS NOT <br />COHHEHCED OR IF WORK FAILS TO HEET ALL REGUIREHENTS OF STATE LAWS AND HARION COUNTY <br />ORDINANCES. <br /> <br /> SIGNA[URE OF APPLICANT: <br /> <br />~O~ALt) [ WOOlLY, Y, ~ARION COUNTY BUILDIHG OFFICIAL / ~y PMUNROfy <br /> <br /> <br />