Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLOC, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; 58S-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 58~-7904 <br /> <br />I am pecforming WOrk 0/1 a OtOl~effy I own or ~CUpY. <br />I am a registere~ b~ilder OR t~e authorized representative <br /> <br />SIGNATURE OF APPLICANT: ...................... <br /> DATE; ................. <br /> <br /> CONTACT: JIM ARLETN 645-2230 <br /> <br /> PHONE: <br /> <br />JWIDTH:L .................. ]~ ......... *; .......... <br /> ................ ......................... .............. .............. ........ <br /> <br /> SITE HUi~F~: 94-~,1779. <br /> VALUATION.- <br />:~ow,sw ,: ....... [ -~%i~ ........... /'~i'," ' <br /> <br />TYPE: 0N-SITE SEWAGE <br />PER~IT OR /~PPLICATI~4 NO= 54784 <br />CONTRACTOR~ <br />GHIGLIERI~ LORENZO <br />CONTACT: Jlfl ARLETH 6~5-22~8 .... <br />PNOHE: <br /> <br /> WATER SUPF'LY: PW <br /> TEST HOLES READYt <br /> ~ITE EVALUATION NUMBER: 44212 <br /> EXISTIN~ TANK SIZe: <br /> <br />I~SEPTIC TANK PUMPED.' <br /> PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM ; ~UANTITY AMOUNT <br /> S'CANDARO ON-8ITE SYGTEfl . .': .'.. ..' 1 $255.~ <br /> <br /> .... ...', ' .TOTAL .A$SEBSED FEES ~255,0~ <br /> ., ,PREV'I~S 'RECEIPTS, s25s, g~ <br /> <br />CO TIO FAI S TO HEET'A~ REOUIRE~ENT~ OF 'S~ATE LAW5 AND MAEION COUNTY BUILDIH~ AND <br />ZONiN~ ORDINANCES, THIS PERHIT'. '.. 'SHAEL. :BEOq~E NUlL AND. VOI~'.. ' <br /> <br />REMARKS: ST~ SYS <br />DONA;..O E. WOODLEY~ MARIO~ COUNTY BUILOING OFFICIAL / BY <br /> <br />OI=FICE COPY <br /> <br /> <br />