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DATE/TIME <br />TYPE <br />OCCUPANCY <br /> <br /> AUTHORIZATION/MINOR REPAIR PERMIT <br />02/19/99 15:52 PERMIT NO <br />SP STATUS <br />R-3 ISSUED <br /> TO EXPIRE <br /> PAGE <br /> <br />99-01144 <br />ISSUED <br />02/19/1999 <br />02/19/2000 <br />1 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />SS AUTH/NO VISIT & MINOR REPAIR FOR REPLACEMENT <br /> <br /> CITY: MARION COUNTY <br /> 11525 MCCLELLAN LN SE AM <br /> <br />SUBDIVISION <br /> <br />CROSS STREET <br /> <br />PARCEL NUMBER <br />PARCEL SIZE <br /> <br />OWNER <br /> <br />WEST STAYTON RD SE <br /> <br />75440-400 <br /> .AC <br /> <br />HALES.GARY A & ICATHLEEN <br /> <br /> LOT: BLOCK: <br /> <br />PROPERTY LOCATOR: 092W13DA01300 <br /> ZONE: AR <br /> <br />AUTH AGENT <br />ADDRESS <br /> <br />PHONE <br />DEQ INST~3_LER <br /> <br /> PHONE <br /> <br />HALES,GARY A & ~CATHLEEN <br />11525 MCCLELLAN LN SE <br />AUMSVILLE.OR <br /> 97225 <br />769-3800 <br /> <br />ACE SEPTIC TANK SERVICE DEQ LICENSE: 22012 <br /> <br />(503) 393-1033 <br /> <br />Units Description <br />I Minor Repair <br />I Authorization, no Field Visit <br />2 DEQ Surcharge <br /> <br />Fee <br /> 100.00 <br /> 90.00 <br /> 60.00 <br /> <br /> Assessed fees 250.00 <br /> Adjustments .00 <br /> Total fees 250,00 <br />PAYEE: HALES.GARY A & ~C4THLEEN Total payments: 250.00 <br /> Balance due : .00 <br /> <br />THIS AUTHORIZATION / MINOR REPAIR PERMIT IS NON-TP~NSFERABLE AND EXPIRES 265 DAYS <br />FROM ISSUE DATE. <br /> <br />FiL <br /> <br /> Marion County Building Inspection <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 /> <br />