Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 58~,-$147 <br /> CODE-A-PHONE 4:30 P.M] - 8:00'A,M. <br /> <br />DATE: 05/04/8'7 TINE: 8:54:29a <br /> <br />OWNE~: Fv~JSIC. ,ROBERT <br /> <br />~IGHATURE OF APPLICANT'. <br /> DATE; <br /> <br />CAT,GORY: ~ <br /> <br /> 230 CENTER STREET <br /> <br />SANE <br /> <br />:~HONE: 854-3?5 <br /> <br />OR 97342 <br /> <br />~ONTRAGT CITY: <br /> <br />SUBDIVISION: <br /> <br /> SITE NUMBER: <br /> VALUATZON~ <br /> <br />OCCUPANCY: <br /> <br />OCCUPANT LOAO: <br /> <br /> 2 <br /> <br />LOT: I~LOCK: <br /> ~(] <br /> <br />SECTION: TOWNSHIP: RANGE: ZONE: MAP: <br /> ! ! 0 5E <br /> <br />AREA: ?~00,00 UNtTS'. SE IRREG, LOT: N CORNER: N <br /> <br />~ 05 <br /> <br />TyPE: (iN ~,'.5.". ~ c, SEWAGE <br />oE:R?.IlT OR A~>Pt..[CAT~ON NO: <br /> <br />COl',, TRACTOR, NO. <br />~USIC, RC)B E~'~ <br /> <br />PHONE: 854"-375 <br /> <br />!751 <br /> <br />r ~ATER S/JPPLY: CW ' TEST HOLES READY: <br /> S[TE EVALUATION NLIMBER: NO RECOR0 <br /> EXISTING TANK SIZE: <br /> EXIST;NC D~A~N FIELD LINES: <br /> SEPTIC TANK PUMPED; <br /> HOLDING TANK AGREE~ENT~ <br /> EASS~EHT: <br /> AFFZOAVZT; <br /> WINTER WATER ¢~ <br /> CH,:CK: <br /> <br />'EE'XISTZNG SYSTEM EVAL. RPT. <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />I~U.,ANTITY ' '' ' <br /> <br />,00 <br /> <br />PAYEE: <br /> <br />RECEIVED [~Y: r'M ............................ TYPE: Ck~ECK <br /> <br />SEE ATTACHED OOCUMENT FOR R~.~L .~NP~'"'J'~o O. ON-,:~TE SEWAGE SYSTE~. <br /> <br />.,cPsc [ A_ ':4EOU ~ RE~ENTS: <br /> <br />~ST~0TI~ FA~LS TO MEET ~L RE~I~%S OF ST~Em ~ ~O ~RI~ ~N~ BUILDIN~ <br />Z~ING ORDIN~C~, ~IS PE~IT ~ALL 8E~ NU~ ~O VOID. <br /> <br />OFFICE COPY <br /> <br /> <br />