Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG- NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-51'47 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: $88-7904 <br /> <br />~IGNATURE OF APPUGAN'r: <br /> DATE: ..... <br /> <br /> 74,~0 75TH PLACE <br />' A~ I LLE <br />;VGE OF <br /> <br /> · CONTRACT ~rTY: , UGS; <br /> <br />OE., ,97.~25 ........... i'l.~,Rl~N. ,COUNTY.. .NO ........... <br /> <br />~AiL] N~ A O~ ~Si ......... <br /> <br />OCCUPANT LOAD: <br /> <br />P 0 BOX 8~9 <br />AUHSVIL,LE, OR 97325 <br />PHONE: 399-0738 <br /> <br />$1 <br /> <br />PERHIT OR APPLICATION <br /> <br />CONTRACTOR~ NO. 3&949 <br />AAA SEPTIC SERVICE <br /> <br /> ALEM, <br />PHONE: <br /> <br />5&092 <br /> <br />WATER ~UPF'LY: PW <br />TEST HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />EXISTING TANK ~IZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDEOOHS: <br /> <br /> ITEM QUANTITY AMOUNT <br />SITE EVALUATION~ FIRST LOT I $280.00 <br /> <br /> TOTAL ASSESSED FEES S280.00 <br /> · PREVIOUS RECEIPTS ~265.00 <br /> ... ,', 'THI'S..RECE~FT $15.00 <br /> <br /> '::: '"'""' ",",'-:'L,~ALANCE ~UE <br />PAYEE~ A~A SEPTIC SERVI'~E ....... ',',".-'.v, <br /> RECEIPT NO~ 63924 <br />RECEIVED BY= CE ..................... ~; ..... ~ ....... TYPE: OK CHECK f: <br /> ATTACHED DOCUMENT FOR:~E~UIREMEHT$1OF,bN~ZTE,SEWA~E :SYSTEM. <br />SEE <br /> <br /> NOTE: THIS DOES NOT GRANT OR IMPLY PEEMISS,IQN TO BUILD ON ,THIS PARCEl. PLANNING AND <br />ON~TRu~TION PERM~T~ MUST BE OBTAINED BEFORE BUILDING OR SEPTIC ~NSTALLATION BEGINS. <br /> <br />REMARKS: <br /> <br />DONALD E, <br /> <br />WOODLEY~ MARION COUNTY BUILI)ING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />