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DATE: 05-28-2003 <br />OFFICE: MC <br />UGB: <br />HISTORY:?? <br /> <br />Marion County Building Inspection <br />555 Court St. N.E., Room 2260, PO Box 14500 Salem, Oregon 97309-5036 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 Inspection Line: (503)373-4427 <br /> <br />SEPTIC AUTHORIZATION APPROVAL <br /> <br />TYPE: SP <br />USE: R <br />MAP: iR <br />ZONE: AR <br />SITE: <br /> <br />ACTIVITY NO: 99-01855 <br />STATUS: ISSUED <br />ISSUED: 03/29/1999 <br />EXPIRES: 03/28/2000 <br /> <br />WORK DESC: <br /> <br />SITE ADDRESS: <br />PARCEL: <br /> <br />APPLICANT: <br /> ADDRESS: <br /> <br /> PHONE: <br /> <br />OWNER: <br /> ADDRESS: <br /> <br /> PHONE: <br /> <br />INSTALLER: <br /> LICENSE NO: <br /> ADDRESS: <br /> <br /> PHONE: <br /> <br />AUTH/FLD: ADD BAT~/BEDRM & COMPUTOR RM <br /> <br />10941 NE ARNDT RD AR <br />031W32CD00400 <br /> <br />SCHWEIGHARDT CHRIS <br />10941 ARNDT RD HE <br />AURORA, OR 97002 <br />503 678-1776 <br /> <br />SCHWEIGHARDT CHRIS <br />10941 ARNDT RD NE <br />AURORA, OR 97002 <br />503 678-1776 <br /> <br />Description Fe__e Units Description Fee <br />Authorization with FV: $250.00 Other Inspection Hfs: $0.00 <br />Authorization without FV: $0.00 Reinspecion Hrs: $0.00 <br />DEQ Surcharge: $30.00 <br />Misc/Copy Fee: ?? Total Assessed Fees: $280.00 <br />Other Septic Fee: ?? Adjustments: $0.00 <br /> Total Fees: $280.00 <br /> Total Payments: $280.00 <br /> Balance Due: $0.00 <br /> <br />THIS AUTHORIZATION IS VALID FOR A PERIOD NOT TO EXCEED ONE (1} YEAR FROM THE ISSUE DATE AND IS NON-REFUNDABLE. <br /> <br />SIGNATURE OF APPLICANT: X <br /> <br /> <br />