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DATE/TIME <br />TYPE <br /> <br />UGB: DT SITE: <br /> <br />: 05/06/99 12:49 <br />: SP <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />99-03427 <br />APPLIED <br />05/06/1999 <br />00/00/0000 <br />tl/02/1999 <br /> <br />WORK DESC <br /> <br /> LOCAIOR: 10bEUZAD06400 <br />: INSTALL - TH:READY 4/29/99 - L2.BL6 - PA~ON #1 CITY: DETROIT <br /> <br />EXIST BEDROOMS: PROPOSED BEDROOMS : 3 ZONE: RS <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: MAP: lOB <br /> LAND USE: <br /> <br />SITE ADDRESS : <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br /> <br />OWNER <br /> ADDRESS <br /> <br /> 140 4TH ST DT <br /> <br />PA~ON #1 <br />90250-520 <br /> <br />COYLE DOUG <br />2532 GRAYOAK LN S <br />SALEM OR 97302 <br /> <br />581-4225 <br /> <br />COYLE DOUG <br />2532 GRAYOAK LN S <br />SALEM OR 97302 <br /> <br /> LOT: 2 BL: 6 <br />PARCEL: 10520,00 SF <br /> <br />DEQ INSTALLER: ACE SEPTIC TANK SERVICE <br />PHONE: (503) 393-1033 <br /> <br />DEQ LICENSE: 32013 <br /> <br />PHONE 581-4235 <br /> <br /> UnJts DescrJption Fee <br /> 1 Construction PermJt 400,00 <br /> i DEQ Surcharge 20,00 <br /> <br />Assessed fees <br /> <br />430.00 <br /> <br /> Adjustments .00 <br /> Total fees 430.00 <br />PAYEE: COYLE DOUG Total payments .00 <br /> Balance due 420.00 <br /> <br />THIS IS NOT A PERMIT, THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE <br />SOIL, FEASABILITY AND INSTALLATION REQUIREMENTS ARE CHECKED PRIOR TO THE ISSUANCE <br />OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ~SURE THAT ALL <br />NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br />HAVE BEEN MET. YOU WILL BE NOTIFIED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E. WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY PMUNRO <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 />