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8562934
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8562934
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Last modified
3/26/2019 10:06:30 AM
Creation date
3/18/2019 9:11:15 AM
Metadata
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Template:
Permits
Permit Address
5233 KEENE RD NE
Permit City
GERVAIS
Permit Number
555-18-007108-PRMT
Parcel Number
052W20 01700
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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RECEIJ <br /> IVE ' <br /> SEP 21 2018 21 <br /> t'" 4 41100k ' MARION COUNTY <br /> F' SPECTION <br /> TOLL FREE 844-571-2836 <br /> CCB# 155.581 FAX 541-917-1861 AandBSeptic.com <br /> 2 -Year. AX25RT Service Contract <br /> For the State of Oregon <br /> Parties: <br /> (Authorized AdvanTez°Service.Provider)' <br /> NAME A&B SEPTIC SERVICE <br /> ADDRESS POBOX 444. <br /> CITY,STATE,ZIP CODE ALBANY OR 97321 <br /> TELEPHONE 844-571-2836 <br /> E-MAIL att.oandm@gmail.com <br /> And: <br /> (Customer) <br /> NAME COLEMAN SEE-BA-140:-Y-- <br /> ADDRESS <br /> EE l AADDRESS P,O.BOX 81 <br /> CITY,STATE,ZIP.CODE ST.PAUL,OR 97137 <br /> TELEPHONE 503-851-9781 <br /> E-MAIL drew@colemanseed,com <br /> System Location: <br /> ADDRESS 5233 KEENE RD. <br /> CITY,STATE,ZIP CODE GERVAIS,OR 97026 <br /> LEGAL DESCRIPTION <br /> Agency Contact Information: COUNTY MARION COUNTY <br /> ADDRESS 5155 SILVERTON RD.NE <br /> CITY,STATE,ZIP CODE SALEM,OR 97305 <br /> TELEPHONE 503-588-5.147 <br /> E-MAIL <br /> Date:September 21,2018 <br />
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