Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 22§ <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M- - 8:OO A.M. <br /> <br />10/25/89 TII~IE: 2:11:57p <br />.~z}~,U~, PAY <br /> <br />40538-000 <br /> <br /> 14633 OTTA~AY i~ NE <br />US~,~G OR 93'002 <br /> <br />occu~^.c¥ ~'F.,SIDI~rTL <br /> <br /> P.O. BOX 505 <br /> HILEK:~VILEE. OR 970?0 <br /> PHONE.' 651-3867 <br />"-O'{ 6LOCK <br /> <br />3 <br /> <br />TYPE: Ot,~SI TE <br /> <br />PER~ZT OR APPLICATION <br /> <br />CONTRACTOR, <br /> <br />P.O. B~ <br />~E: 651-3867 <br /> <br />HT~T~TER SUPPLY= C~ <br /> HOLES REAOY: YI~ <br />SITE EVALUATION NUMBER: <br />EXISTING TANK STZE~' <br />EXISTING ORA[N FIELD LD~NES= <br />SEPTIC TANK <br />PREVIOUS NO. <br /> <br /> ITEM (~JANT I TY AMOUNT <br />SITE EVALUATION, FIRST LOT 1 $13'S.00 <br /> <br /> TOTAL A,.~G~ FEES $175,00 <br /> PREVI~ RECEIPTS $0. O0 <br /> THIS RECEIPT $115.00 <br /> <br /> BALANCE DUE $0. O0 <br /> <br />PAYEE: PAULSEN. RAY INVOICE NO; 21051 <br />RECEIVED ElY: ¢1 TYPE.* IN CHECK ~: 0 <br /> <br />SEE ATTACHED DOCU~ENT FOR REQUIRENENTS OF ON-SITE SE~AN~E SYCJTEM_ <br /> <br />NOTE~ THIS ooe~ NOT GRNCTOR [I~PLY PF..R~I~SION TO BUILO ON THIS PARCEL. PLJiM~ING NCO <br />~ION PEI~tIT~ ~ BE OI)I'AZNEO 8EFOR~ BUILO[NG OR .~FIC INSTAt4.ATiON BEilN~. <br /> <br />P~ R~I ~: ~Y ...... DATE, --~ CITY JURISDICTION: DY__~...__.__..._____ DATE ..... <br />RE~RK'~: SE / 30 EMPLOY~E~ <br /> <br />OFFICE COPY <br /> <br /> <br />