|
MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG. NO, 225
<br />';'20 HIGH STREET NE
<br /> SALEM, OREGON 97301
<br />
<br /> PHONE: {~88~t 47 8:00 I 4:30
<br />24 HOUR CODE-A-PHONE; 588-7904
<br />
<br /> am {t r~istered bullCer OR [ ) t~e authorized re~sentative ~IGNATURE OF AP~LIGANT: ..............................
<br /> Of a f~gistered builder,
<br />
<br />~r~rEa [~1~1.~ ....... ~[HE~:~'r3~-- ~WX~-'CdT, ............................. ~ ~'~-6 h~ .........
<br />
<br /> ...... ......................... .........
<br /> -* o ~ES~ENTI~L
<br /> JEFFREY~
<br />
<br /> FIRST
<br /> ~T
<br />
<br /> ~OiL~
<br />
<br /> VANOOUVER. ~A~985&3 ) SITE ~BMBER: 93-~I155
<br /> PHONE: 2~6-~95-~96~ j VALUATION:
<br />
<br /> , .................. .............
<br />
<br />TYPE~ aN-SITE SEOA~E
<br />
<br />CONTRACTOR. NO,
<br />JEFFREY. CRASE ..... i ...
<br />5328 NW ESTER S'F ......
<br />
<br /> , WATER SUPPLY: CW
<br /> TEST HOLES READY:
<br /> SITE ~ALUATION NUMBER: 42673
<br /> EXISTING TAN~
<br /> EXISTING DRAIN FIELD L~NES;
<br />,,,,~E~ZC TANK PUMPED:
<br /> 'PREVIOUS 'NO.'BE~ROOHS=
<br />
<br /> VANCOUV[R~ WA
<br /> PHONE: 2~-675-~966
<br />
<br /> ITEH ,, ', '~, .,' ' '"' "'.' .. "- .....'QUANTITY A~OLI~'~T
<br /> BEEPAGE TRENCH .... , , ,,, . . .. : . . "'..,
<br /> ~: '..:.. ':: ,:i ,, , ;, ,' ,' ',, ,.,, .,. TOTAL' :A'SSE~'SED.'FE,E~ s255.
<br /> . ',. : ';:,,,', ': ,,'( , .'.,..,.'~.~V~-,.~CE~T~
<br /> :" '"" "'L', ',,',',,,{ ', ,' '~,';'~:; .......... ]~H,I,S:;RE6E.~P T :.'-, :"; $255.
<br />
<br /> '...'".?.'.'.'cc.~:~'.',.,, ",,,,', '"."~bu~u=..uu[ ·
<br />
<br />t~ONSTRUCTION FAILS TO HEE?~L~,'RE~UI~MEH~S,.'OF.'S~TE ~[AWS.~ AND ffARION COUNTY BUll I)ING
<br />ZONIN~ ORDINANCES, THIS PE~M'IT'L'SH~L~B~'ME,,,,~L-~AND:-VOIg; '. ....
<br />
<br /> RE~ARI(~: 60NSTRUCT AS CUrrENTLY;, FtEL~. STALED FOE LDCAT'IONS. SEE ~E;~ PL~T
<br /> ¢~]P'Y 2. ~,792, ~AN~ F~LTER FOR; ·FUTURE REPAIRS. 2, 3E HAX.
<br /> DOqA.D E. ~;'OD!,EY, MARION C~,L~{4Ty BUILDING OFFICIAL / BY .............. ~ ..............................
<br />
<br />~r~ ~ ~ ~.~ R~, ~ OFFICE COPY
<br />
<br />
<br />
|