Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 22,5 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-51¢7 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other· <br /> <br />SIGNATURE OF APPLICANT; .......... <br /> <br />DATE; 10/20/92 <br /> <br />THERRIEN~ HARRY <br /> <br />: ;-74750--0~0 , RE,~IOENT'rAL <br />160NSTC~ubiibN T~P~: .......... OCCUPANCY: <br /> <br />LOT: <br /> <br /> 7908 STONE FIELD CT SE ~ CONTRACT CITY; : I,IG~I; ;OCGUPANT LOAD; <br />AUHSVILLE OR 97325 ~MARION COUNTY. NO <br /> <br /> STONE FIELD 6LEN <br />7771 TERRANSE LANE ................................... <br />AUNSV[LLE 97525 WK 750~4552 SITE NuHBER.- 92=03&24 <br />PHONE: 74~-2666 VALUATION: <br /> <br /> : 8LOCKI ............................................................ S~G~ION; TOWNSHIP: ' RAN~: ; '~SN ~', ..... ~XP; <br /> <br /> · ..: Z.6 ............................... t~ ................ 2W . ~ AR · 51 <br /> ,DEPTH; ' AREA; ; UNITS; IRREG. LOT; ......... ~)~: .......... <br /> 5. j AC : NO NO <br /> <br />TYPEs ON-SITE SEWAGE <br /> <br />PERMIT OR API:~.ICATION <br /> <br />CONTRACTOR, NO. <br />THERRIEN, HARRY <br />7771 TERRANC~ LANE <br />AUMSVILLE 97~5 <br />PHONE: 749-26~6 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES REAOY: <br />SITE EVALUATION NUMBER: 7-76-8 <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO..BEDROOMS; <br /> <br /> ITEM QUANTITY AMOUNT <br /> STANOARO ON-SITE SYSTEM i <br /> <br /> TOTAL.ASSESSED FEES $21o,00 <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT $210.00 <br />  ALANCE DUE $0.00 <br /> PAYEE; THERRIEN. N~RRY ~ ~ RECEIPT NO" 454~3 <br /> FEC£~VED BY: OM2 , ~_~J~ 'TYPE' C[ ~HEC~ ~: 2072 <br /> SEE ATTACHEO DOCUMENT FOR REQUIREMENTS OF ON-SITE ~E~AGE SYSTEM. <br /> <br />~ ~ THIS IS NOT A PERMIT. THIS APPLI~TION N~T ~0 THROU6H A REVIEW PROCESS WHERE THE <br />FOLLOWING RUST BE COMPLETED. IT.IS THE RESPONSIE~LITY OF THE APPLICANT TO ASSURE THAT <br />~LL NECESSARY INFORMATION NAS'BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY DATE CITY JURISDICTION: DY .......... DATE <br /> <br />REM W SEPTIC SYSTEM ~ OLD SITE EVAL DOES NOT SHOW APPROVED <br /> <br />OFFICE COPY <br /> <br /> <br />