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 - 4:80 <br />24 HOUR CODE:A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy, <br />I am a registered builder OR ( ) the authorized representative <br />of a registered builder. <br />The work will be performed by a registered builder, <br />Other .... <br />I have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br /> DA. E= 0 ?Z~SZ.~3 ........ T'riztE 2,.59~, ..................................................................... ~'~i¢6~w ..... <br />, ow,~; [ TAX ~T'. <br />:, El.. I)EI,t.¢ JOHN W 98258.-,e7e RE,~,[ DEN l l AL <br /> <br />~ i)ETRO];T OR 97342 DETROIT .L No <br /> <br /> / <br /> <br /> GRESHAM BUYER= EI,.I)EN, JOHN t ~iTE HUMBER. <br /> PHONE, 667-69,9 L VALUATION: <br /> <br /> E .J ................... L ....... ................... L <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION <br /> <br />~ONTRAI:'~OR~ iq(;). 84745 <br />Kev'i. yt i4 Hills <br />Pi) Box 465 <br />Detroit. 97~42-~00 <br />PHONE: <br /> <br /> WATER SOF'PLY: CW <br /> TEST HOLES READY: <br /> SYTE EVALUATION NUMBER: 35882 <br /> EXISTING TANK SIZE: <br /> EXISTIN(;, DRAIlN FIELD LINES: <br /> SEPTIC TANK F'UHPED: <br />", ............ '. "-'I' PREV~'OU~ NO? BEDROOMS: <br /> <br />'fEN .... QUANT I TY AMOLiNT <br />SEEPAEE TRENCH ' ' 1 $255. <br /> <br /> FEES <br /> <br /> PAYEE: Kev:i,~ M Hills <br /> REEIEIVED BY: PH <br /> <br /> SEE ATTACHED DOr. JUHEN1 <br /> <br /> * THIS I-~ NOT A PERI, frff, <br />FOLLOW];146 MUST BE C, OMF't~Ei <br />ALL NECESSARY INFORMAT~ <br /> <br /> $255,, 0~.1 <br /> <br />,: <br /> <br /> INVOICE NO: <br /> TYPE: IN CHECK ~: <br /> <br /> A ~EVlEW P~QSESS WHERE THE <br /> APPLICAN~ TO ASSURE 'IHAT <br /> <br />PLAN REVIEW: BY, ......... ~___?.. ........ " ...................................................... <br />REMARKS: ST ,/ , ~: <br /> <br /> ~ OFFICE COPY <br /> <br /> <br />