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DATE/TIME <br />TYPE <br /> <br />05/06/99 15:07 <br />SP <br /> <br />UGB: SITE: <br /> <br />ON-SITE APPLICATION ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />99-02439 <br />APPLIED <br />05/06/1999 <br />00/00/00 <br /> <br />WORK DESC <br /> <br />EXIST BEDROOMS: <br />EXIST EMPLOYEE: <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 />: ALTERATION: PER DIANA TALKED TO MR. GLIDEWELL <br /> <br /> 2 PROPOSED BEDROOMS : 2 <br /> PROPOSED EMPLOYEES: <br /> <br /> 9117 STAYTON RD SE AM <br /> <br /> LOT: <br />61895-000 PARCEL: <br /> <br />VALLEY SEPTIC SERVICE <br />KENNEltt SCHMALTZ <br />PO BOX 5241 <br />SALEM OR 97304 <br />(503) 588-1115 <br /> <br />GLIDEWELL KEVIN <br />13168 N SANTIAM LN <br />AUMSVILLE OREGON 97225 <br /> 97304 <br /> <br />LAND USE: <br /> <br /> BL: <br />.oo AC <br /> <br /> DEQ INSTALLER: VALLEY SEPTIC SERVICE <br /> PHONE: (503) 588-1115 <br /> <br />DEQ LICENSE: 36786 <br /> <br />PHONE : 769-7810 <br /> <br /> Units Description Fee <br /> 1 Alteration 400,00 <br /> 1 DEQ Surcharge 3D,O0 <br /> <br />Assessed fees : 430.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 430,00 <br />PAYEE: V~&LEY SEPTIC SERVICE Total payments: 430.00 <br />GLIDEWELL KEVIN Balance due : .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 RESPONSIBIL] THE APPLICANT ASSURE THAT ALL <br />NECESSARY INFORMATION IS PROVIDED. SOON AS lENTS OF THE REVIEW <br />HAVE BEEN MET, YOU WILL BE <br /> <br />SIGNATURE OF APPLICANT: <br />DONALD E, WOOD[EY. MARIO~ [LDING OFFICIAL / BY CL' NCH <br /> <br /> County Building Inspection <br /> 3150 Lancaster Dr. N Suite C Salem, Oregon 97305-1398 <br />Office Hours: 8:0D-4:30 Phone: (503)588-5147 24-hr Inspection Line: (503)373-~427 <br /> <br /> <br />