|
=$
<br />
<br />MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO. 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
<br />
<br /> PHONE:588-5147 8:00- 4:30
<br />24 HOUR CODE-A-PHONE; 588~7904
<br />
<br />ota registered builder,
<br />The Work will be performed by a reg stered bu der !
<br />
<br />DAVII)SON, JOHN
<br />
<br /> 10720 MARTIN L,N N~
<br />AURORA OR 97002
<br />
<br />4G018-0~0 ~
<br />
<br />MARION COUNTY. NO .
<br />
<br /> USE ,:DF ~u-*i.&~UF ......................................................... : ............................... ~-
<br />
<br /> WALTBR BflYES ! ................................................
<br /> 547 SE 74TH PORTLAND 77215 SITE NUMBER: 93-8323~
<br /> PHONE: 25~-2847 ' VALUATION:
<br />
<br />'L~: ~ ~L~K: :S~CY~ON~ ................................................... ' mWNSW~e~ : ,A~G~ ~'~E~ .......... ~DF .............
<br />
<br />TYPE: ON-SITE SEWAGE
<br />PERHYT OR APPLICATION NO: ~0035
<br />COHTRACTOR, NO.
<br />DAViDSON~ 30HN
<br />WALTER BOYES ,''' :.' ''j'.
<br />547 ~E 74TH PORTLANd' 97215
<br />PHONE: 253-2847 '.
<br />
<br />4
<br />
<br /> WATER SUPPLY: PW
<br /> TEST HOLES READY: YES
<br /> SITE EVALUATION NUMBER: ·
<br /> EXZSTING TANK SIZE:
<br /> EXISTIN~ BRAIN FI£LB LINES:
<br /> SEPTIC TANK.PUMPE~:
<br />"' PREVIOUS NO; 'BEDROOHS:
<br />
<br /> ~TEPi "~.,. .., i; -T~":'._':.7':'7 .......... 7
<br /> , OUANTITY AMOUNT
<br /> SITK EVALUATIOH, FIRST L1D,~'," ," ...... , ....
<br /> ..... ' .... ' .' I $265
<br /> : "
<br /> .... ,": ," .'~ ' E" U9 R'ECEIPT~ $~.~
<br /> ','"' '~ THIS ~ECEIPT ' $265.
<br /> ........... ,,. .... . ·
<br /> ~ ,' , .:....¥:: ,...: :.. .....
<br /> PAYEE: ~ .... : ,, ............
<br /> RECEIVED BY. gL" ". REgEIPT NO: 52411
<br />
<br /> ....................... ::~: .... ~ .... ~ .... ~ .......... TYFE. OK CHECK ~:
<br />
<br /> ;~-',,,, ~ ~.:~ ~'v~'?~'~:,'~~' , ~g~-~.~ ..::'"~ :. ~ , , - .............
<br /> ~.~,,,~, ,.,~,~ .= ~-. ,~,~,,~ .~,~...~ ......... ,
<br /> . ;~.~. ,:~ .~ .......... .,
<br /> . ,, ,,' ':~,,,,',~/~DT...~;, % ,~::,~;; ..: .,? :. , .,,:, ,,
<br /> · ~ ;~,,,, ,~, .:~.e,~~;~ ~ ~.~-...~ ,.,~,4~ ~.~.... :. ·
<br /> , , .... · ,,~., ..~ ~ ~S~ .... ......
<br />('~TRUCTION PE~'~I]'S ~U~T BE OBt'~NED~ ~,~t~I~ B~S.~A~CEL' FLA~ING AND
<br /> REVIEW.
<br /> BY
<br />
<br /> REMAF(K~; SE TH:9-28-9~,
<br />
<br /> .... ' : ..~.: .._ v::: ,. .,., , ,.
<br />
<br />OFFICE COPY
<br />
<br />
<br />
|