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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. H.E. · Suite C *SMem, Oregon 97~Q5,1398 <br />Office Hour: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR In~mc~on Line: (~03) 373-4427 <br /> <br /> OH-SITE APPLICATIGN <br />D&TE/TZHE t ~7/25/97 15:48 ACI'I¥ITY NB: 97-95783 <br />TYPE --t ~P ST&TU~ : APPLIEg' <br />OCCUPANCY · R-3 ~E ~PPLZED : 87/2~/1997 <br />PAGE ~ I SP I~PLZED -' 97/25/1997 <br /> TI) EXPIRE m 91/21/1998 <br /> <br />WORK DESC : <br /> <br />EXIST BEDROOMS: <br />EXIST EMPLOYEE: <br /> <br />SITE ADDRESS : <br /> <br />ALTERATION:DRAIN FIELD ONLY <br /> <br /> PROPOSED BEDROOMS : <br /> PROPOSED EMPLOYEES: <br /> <br />18163 MILL CREEK RD SE AM <br /> <br />3 <br /> <br />CITY: MARION COUNTY <br /> <br />SUBDIVISION <br /> <br />CROSS STREET : <br /> <br />PARCEL NUMBER : 75488-020 <br /> PARCEL SIZE : .65 AC <br /> <br />LOT: <br /> <br />BLOCK: <br /> <br />OWNER <br /> ADDRESS <br /> <br />: WOIEH. NORMA D <br />: P 0 BOX 451 <br /> AUMSVZLLE, OR <br /> <br />PHONE : <br /> <br />97304 <br /> <br />AUTH ~EHT ~SCHMALTZ KEN <br />ADDRESS BOX 5241 <br /> <br /> 97384 <br /> PHONE : 588- <br /> <br /> : VALLEY SEPTIC SERVICE <br /> <br /> PHONE (50~) 588-1115 <br /> <br /> OEa Surcharge <br /> <br />DEQ LICENSE: 36786 <br /> <br /> , ,, Fee <br /> <br />348.ae <br /> <br />:~.?~ Assessed fees : 378.~8 <br />.... Adjustmenqbs : <br /> Total fees : 378.9g <br />PAYEE: 8~HMALTZ ~EN Total payr~ents: 378.80 <br /> Balance due : <br /> <br /> us; m..Y. THZS ZS NBT · ...... <br />ZI]HE~ AR <br /> <br />LA~D t.q~ ~ NBm ~ <br /> <br /> <br />