Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: $88-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other <br /> <br />I have read and aDree to the term5 stated on the reverse side of <br />this document. <br /> <br />DATE: <br /> <br /> OWNER;OAF!?:~ 07/,?.?/74~ T];tqE'~ ':;:8T%~'!i;~2 .... i T~k LO~ CATEGORY: <br /> ; SITUS ADB~ESS~ CONSTRUCTION TYPE; OCCUPANCY <br /> <br /> i ~t,JROR~ OR ~7882 [~lJROl'~ ~ ND <br /> , d~"b> ~-8 E~'~ ...................................... ~ ...................................................................... ~'~' ~ <br /> <br /> ........ .......................... .............. , <br /> <br /> -- PARCEL ,~ ......... <br /> i F",,S. BOX $4~ <br /> I ~ <br /> ~WR{'}R~, OR SITE NUMBER: ~4-~2854 <br /> ! F'HOHK~ VALUATION[ <br /> <br />....... . ....... ¢: .............. % ,. <br /> <br />TYPE: OH-SITE SEWAGE <br /> <br />PER'lIT CiE APPLICATION <br /> <br />COI,ITFL4 C TOI'~,~ <br />I,H£,i].iZNGE, RICH~RI> & EI_~Z~BE'FH <br />P,, O., BOX <br />AURORA OR <br /> <br />WATER SUPPLY: CW <br />rEST HOLES READY: <br />SITE EVALUATION NtJMBER: 2~8~t88 <br />EXIST,fN[; I'ANI( SIZE: <br />EXISTING DRAIN FIELD LINES',', <br />SEPTIC TANK F'UNF'ED: <br /> <br /> I T E N I] U A N T I T Y A M 0 U Iq T <br /> SI'6NDSRD OI,I,,,SI'f'E ,~Y.~TEM ]. <br /> <br /> TOTAL ASSESSED FEES $255. <br /> PREVIOUS ~ECEIF'I'S <br /> tHIS ,RECEIPT <br /> <br /> BALANCE DUE <br /> PAYE~: INVOICE: NO: <br /> RECE].VED BY: dm TYPE: CHECK ~: <br /> SIF[' ATTACNED DOCUMENT FOR REQUIREHENTS OF' ON-SITE SEWAGE OYSTER. <br /> <br />COHSTRUCT:[OH FA,[!..8 R'] MEET ALL REQ~IREMEFT8 OF STATE LAWS AI, D NAR]:ON SSUNTY BUIL.~IN~ AND <br />ZONZIq(i ORDINANCES,~ H[fi FERNZT 8~IAI,... BECOME NOEL A~D VOID. <br />I <br /> <br />REM,'.'tRI(S,¢ SS~ STD SYS <br /> <br />DON~L,I) I:::,, WOODLILY, ~ARION COUNTY BUILD,I:NG OFPF.'t'.Cit, AI. / <br /> <br />OFFICE COPY <br /> <br /> <br />