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9083507
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Last modified
1/15/2020 10:17:57 AM
Creation date
1/2/2020 4:53:11 PM
Metadata
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Template:
Permits
Permit Address
575 63RD AVE NE
Permit City
SALEM
Permit Number
555-17-008840-PRMT
Parcel Number
072W28A 03800
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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• <br /> Marion County <br /> 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> fretrigily <br /> Septic Permit Phone: 503-588-5147 <br /> OREGON <br /> Alteration (Minor) - Residential - New <br /> 555-17-008840-PRMT <br /> wwwcomarion.or.us Building@co.marion.or.us <br /> Schedule Inspections online at www.bulldingpermas.orogen.goy or by calling: L-888-299-2821 or 541-388-6575 <br /> When calling for an inspection,use IVR Number 555073678392 <br /> I r bdiit + x. 'ExPt`rab k 4y <br /> "x?y �'35�. �{'' :I§iR31� P�t ,r F , ��C�t, � �+.t ) <br /> work Dodoripifl F1TdoT:rADD TANK ANb 61 DX + NOP 1; r <br /> Applicant: OW EN,KEITH <br /> Address: 575 63RD AV NE <br /> SALEM OR 97317 <br /> Phone: 503-932-4176 <br /> Email: keith@owenconstructionl nc.com <br /> Owner: OWEN,KEITH Property Address: 575 63Rd Ave NE,Salem, OR 97317 <br /> Address: 575 63RD AV NE <br /> SALEM OR 97317 <br /> Parcel: 072W28A 03800- Primary <br /> Lot Size: 2.51 ACRES Water Supply: Well <br /> Zoning: Not specified Clty/County/UGB: Not specified <br /> Land Use Approval: Not specified <br /> Category of Construction: Accessory Structure <br /> „e . O1 tS ":i leri . :2 6 t1 D$' .. _ Prop•^."t gni t.t <br /> Number of Bedrooms: 3 0 <br /> System Specifications <br /> Type: Not specified <br /> Max Peak Design Flow: N/A Proposed Flow: N/A <br /> Min Septic Tank Volume: N/A Min Dosing Tank Volume: N/A <br /> Special Tank Rgmts: ANTIBUOYANCY required at this site, Install per manufacturer's instructions for antibuoyancy(18 <br /> inches minimum cover). <br /> Drain Field Spe[MoaHons <br /> Drain Field Type: N/A System Distribution Type: Not specified <br /> Drainfield Sizing: N/A Distribution Method: N/A <br /> Seepage Bed Specs: Not specified <br /> Media Type: N/A Media Depth: N/A <br /> Trench Length: N/A Rock Above Pipe: N/A <br /> Total Rock Depth: N/A Rock Below Pipe: N/A <br /> Max Depth: N/A Undisturbed Soil BetweenTrenches: N/A <br /> Min Depth: N/A Capping Fills-Min Depth of Fill Material: N/A <br /> Spec!l Rgmts: <br /> Stake Out Reed: No <br /> Groundwater Type: N/A Groundwater Depth: N/A <br /> Groundwater Interceptor: N/A Groundwater Interceptor Depth: N/A <br /> CALL BEFORE YOU DIG IT'S THE LAW <br /> adoptedArrEPTIOn Oregon Lao Cy the Oregon Warty NotinAtun Center TAW ruler are set n by Oaan gMmmietration RUM. Au may obtain copies <br /> or the Nies by ra U,g tee anter.(Note.The center number An the Oregon utility hmmmion Center N I Boo 372 2740.) <br /> 12/1/1:10:00:11AM Page 1 of 6 C:\myReports/reports//production/01 STANDARD <br /> REPORTS/std OnsitePermit_v2_pr.rpt <br />
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