Laserfiche WebLink
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-PHOKIE: 588-7904 <br /> <br />~ am S registered builder OR ( ) the authorized tepresefltatwe <br /> <br />I have re~d and sgreo to the terms stated on the reverse side <br />this document, <br /> <br />~IGNAYMRE OF APPLICANT: ........................ <br /> <br />CATE: ..................... <br /> <br />TIME: 7:41:55 <br /> <br />SAME <br /> <br /> ............................. 122 <br /> <br />TYPE: OH-SITE SEWA6E '" WATER SUPPLY: PW <br /> <br />PER. IT OR APPLICATION NO: <br /> HOLES <br /> READY: <br /> YES <br /> EVALUATION NUHBER~ <br /> EXZSTZH~ TANK SIZE: <br />CONTRACTOR, NO ..... .:.¢;,.:;.~.. ~ ... ....... ,..EXI[T[J~.....DR~I.N Fi£Lg LINES= <br /> .... ' ................ F'SEPT~C'TANK'PUMPEDJ <br />~OCD~ WAYNE ,- <br />SAME :- ~ PREVIOUS HO. BEDROOMS: <br /> <br /> ITEH ~. " ' OUANTITY <br /> <br />i,!I;~IF': 'fH,;.8 DOES NOT GR/~t'-,;~R.:'-~Pf:¥';;PE~3[-$$~ZO~,~,TO,,,~gt~D:':QN' THIS PARCEL. PLANNING AND <br />'N', 'R~CFION PER~:I;TS MUST BS OBTAZN~ ~EFORE ~UILDIN6 <br /> ' Z':: ~:: '.:'.~' ' ~.".: '~ ~':'.?TS~%;".t':''' ." '.' ':"" ": ,, ',',",'~? ..... <br /> PIm,t Rti, VIF. W: BY DATE CITY JURISDICTION: BY DATE <br /> <br />~o~u * ~c ~,~s R~v, ~ OFFICE COPY . ,' <br /> <br /> <br />