Laserfiche WebLink
Y <br /> <br />MARION COUNTY BUILDING INSPECTION <br />., SENATOR BLDG. NO. 225 <br /> 2~0 HiGH STRF. ST NE <br /> SALEM, OREGON 97301 <br /> <br />HILLIGOBS <br /> <br /> PHONE: 588-5147 8:00 - ¢:$0 ,,, <br />24 HOUR CODE-A-PHONE:588-7904 . ~ .. ~~ <br /> <br />DATE; ............. <br /> <br />TMe work wil~ be performed by ~, reoj~t~tered builder. <br />Other, · , <br /> <br /> TIHE: ~.6:26:58 <br />............................. ¥~'Co?: ................................ <br /> <br />RES[OENTiAL <br /> <br />TYPE: ON-SITE SEWAGE <br />PERMIT OR APPLICATION ND: ~041165 <br /> <br />CONTRACTOR, HO. <br />NILLICOSS <br /> <br />PHONE: <br /> <br />WATER SUPPLY: PW <br />TEST HOLE8 READY= <br />SITE EVALUATION NUMBER: 85-66i <br />EXISTIN8 TANK SI~E: <br />EK[STINB ORAIN FIELO LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />STANOARD ON-SITE SYSTEH <br /> <br />PAYEE: NILLIGOSS <br /> <br />TOTAL A$$ESSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br /> $o,oo <br />$210,00 <br /> <br />BALANCE DUE $0,00 <br /> <br />RECEIPT NO: 45206 <br /> <br /> RECEIVED BY: CL ............................. TYPE: CK CHECK ~: 6481 <br /> <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br />· THIS IS NOT A PERMIT. THIS APPLICATION HUST GO THROUGH A REVIEW PROCESS ~HERE THE <br />FOLLOWIN~ MUST BE OOMPLETEO. IT I~ THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION HAS SEEN FROVIDEO~ <br /> <br />REMARKS: PERMIT <br /> <br />CITY JURISDICTION: 8Y ............ DATE .................. <br /> <br />OFFICE COPY <br /> <br /> <br />