Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. 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 />of a registered builder, <br />The work wilt be performed by a registered builder, <br />Other <br /> <br /> COOK, ARNOLD i RESIDENTIAL <br /> <br /> AUHSVILLE OR ~7325 MARION COUNTY~ NO , <br />:b~ d~ ~umE~N~ ;NO o~ eED~OO~S: <br /> <br /> S~HE <br /> , S~TE NUMBER: 93-0026~ <br /> PHONE: 7~9~22~4 ~ V~LUaT[ON~ <br /> <br />:WIDTH: ;DE~H: ~ ARE~: ~ UNITS: i I"~. LOT: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERHIT OR APPLICATION NO: <br /> <br />CONTRACTOR~ NO. <br />COOK, ARNOLD <br />SAME <br /> <br />°HONE~ 749'-2214 <br /> <br />43340 <br /> <br />WATER SUPPLY: <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELO LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br /> ANNUAL EVAL. - TEMP OR HDSHP NH 1 $75.00 <br /> <br /> TOTAL ASSESSED FEES $75.O0 <br /> PREVIOUS RECEIPTS $75.00 <br /> THIS RECEIPT $0.00 <br /> BALANCE DUE $0.00 <br /> PAYEE: RECEIPT NO~ <br /> RECEIVEO BY: P8 ................................. TYPE: CHECK ~: 0 <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 360 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION PAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PERMIT SHALL BECOME NULL AND ¥010. <br /> <br />REMARKS: HARDSHIP <br /> <br />DONALD E. WOODLEY MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM ~ MC 15-56 REV. 4/80 <br /> <br />OFFICE COPY <br /> <br /> <br />