Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />DATE,: 05/31/91 liME: 15:31 ;52 <br /> <br /> W l I,.~E~, PA[RIC[A <br /> <br />TAX LOT CAT~GO~Y <br /> 40238-000 <br /> <br />RESIDENJiAL <br /> <br /> 10268 CHAMPOEG RD NE <br />AURORA OR 9?002 <br /> <br />CONTRACT CITY UGB OCCUPANT LOAD <br />IViAR,[ ON ~NIY NO <br /> <br />]0307 ¢flAflHiEU LANE NE <br />AURORA OR 9?002 <br />PHONE: 678-5397 <br /> <br /> ~fi~ NU~3ER: 13131 <br /> VALUAFION: <br /> RANGE ZONb <br />4S lW ~F'U <br /> ~RREG lOT CORNbH <br />AG NO NO <br /> <br />MAP <br /> <br /> 4 <br /> <br />IYPE: ON-~IIE SEWAGE <br /> <br />PERMJl OR APPLiCAIlOhN NO: 9032626 <br /> <br />CON IRACfOR, NO. <br />WIL.ME.,~, PAIRICiA <br />10307 MA/IHIEU LANE NE <br />AURORA OR 9?002 <br />PHONE: 678-5397 <br /> <br />WAFER ,~UPPLY: PW <br />FESF HOLES READY: WiLL CALL <br />SiTE EYALUAIiON NUMBER: <br />PD<iSFING 'rANK ~iZE~ <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PURP~D: <br />PREVIOUS NO. BEO~; <br /> <br />~E < 6 MONIHS OLD <br />St'f'g gWALUAFION, F~RSF LOT <br /> <br />PAYEE: WlLME~. FRED <br /> <br /> (,~UANFIfY A~AJNT <br /> I $110.00 <br /> 1 $~75.00 <br /> <br />1OTAL A~E~ED FE~ $285.00 <br />PREW iOUS RECEI P rS $0.00 <br />THiS RECEIP1 $285.00 <br /> <br />BALANCE EXJE $0_00 <br /> <br />RECEiP~ NO; 34422 <br /> <br />RECEIVE0 BY: PB FYPE: CK CHECK ~.~ 4652 <br />SE~ Af fACHED BOO1JMEN'F FhOR RE(~tJIRE~4EN'Fs OF ON-SITE SEWAGE SYS'f'Ef4. <br /> <br />I~OTE: THI~ DOB NOT GRANT OR iRPLY PERditION TO BUi~ THIS PANEL. P~I~D <br />~ST~CTI~ PE~IT~T BE ~TA~NEO DE.RE BU~I~ ~ SEPTIC [NST~TI~ B~NS. <br /> .... ~ ........... ~ ..... Ct~Y gURI~DtCTiON: BY ............. DAfB ........ <br /> RE.RKO: ~ZTE EVAL ~ ~EPfIC ~5537 <br /> <br />OFFICE COPY <br /> <br /> <br />