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DATE/TIME <br />TYPE <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />SUBDIVISION <br /> <br />: 05/20/99 12:53 <br />: SP <br /> <br />SEPTIC PERMIT <br /> <br />: ALTER FOR FUTURE REPLACEMENT HOME <br /> 9117 STAN~FON RD SE AM <br /> <br />TAX ACCOUNT : R3561-6 <br />PARCEL SIZE : .OAC <br /> <br />OWNER <br /> ADDRESS <br /> <br />: GLIDEWELL KEVIN <br />: 13168 N SANTIAM LN <br /> AUMSVILLE OREGON 97225 <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br />PAGE <br /> <br />99-03429 <br />ISSUED <br />05/19/1999 <br />05/18/2000 <br />1 <br /> <br />LUCAIOR: <br /> CITY: AM <br /> <br />LOT: BLOCK: <br />MAP: ZONE: EFU <br /> <br />LAND USE: <br /> <br />DEQ INSTALLER <br />ADDRESS <br /> <br /> PHONE <br /> <br />INITIAL SYSTEM: <br /> <br />VALLEY SEPTIC SERVICE <br />KENNETH SCHMALTZ <br />PO BOX 5241 <br />SALEM OR <br />(503) 588-1115 <br /> <br /> DEQ LICENSE: 36786 <br /> <br />97304 <br /> <br /> REPLACEMENT SYSTEM: STANDARD <br /> <br />Units Description Fee <br />1 Alteration 400,00 <br />i DEQ Surcharge 30.00 <br /> <br /> Assessed fees : 430.00 <br /> Adjustments : .00 <br /> Total fees : 420.00 <br /> Total payments: 430.00 <br />PAYEE: VALLEY SEPTIC SERVICE Balance due : .00 <br />GLIDEWELL KEVIN <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 365 DAYS FROM ISSUE DATE IF WORK HAS NOT <br />COMMENCED OR IF WORK FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY <br />ORDINANCES. <br /> <br />SIGNATURE OF APPLICANT: <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 />FIL£-' <br /> <br /> <br />