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 <br />CODE-A-PHO~IE 4:30 P,M., 8:00 A.M. <br /> <br />Other. <br /> <br />I have read and agree to the term8 stm~ted on the reverse side of <br /> <br /> DATE: 09/'!8,/87 TINE: 10:52:22m <br /> <br /> ~HELEN, BARNEY ~ : <br />S~TUS ADDRESS: i CONSTRUCTION TYPE: OCCUPANCY: <br /> <br />10241 LEVEI:;~Nta~ F:D SE '~N~I~A~ ~i~; ! ~ OCCUPANT ~OAD: <br />AU~VILLE OR 9?325 : ' ~ ~ <br />USE OF BUILD~NG; ' :NO dF CEDR00MS: <br /> <br />~ERICAL <br /> <br /> SAME <br /> <br /> PHONE: "/49-2018 <br /> <br />LOT; , BLOC KI <br /> <br />MAILING AOORESS: SINGLE FAMILY DHELLIN6S iS~60i~iSio'~; <br /> <br /> , SITE NUMBEF:: 2392 <br /> ! VALUAT I ON: <br /> <br /> ', 21 ~ 8S ~ 1N ~ , AR <br />WIDTN: YEPTH; AREA; ~ UNITS'. IRREG, LOT; CORNER: <br /> 15.0000~; AC ~ NO ~ NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PEF~4IT OF: APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />~HELEN, 8ARNEY <br />SAME <br /> <br />PHONE: 749-2018 <br /> <br />4124 <br /> <br />WATER SUPPLY: PN <br />TEST HOL~'~q READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC T$94K PUMPED: <br />PREVIOUS NO. BEBROOf4G: 2 <br /> <br /> ITEM (~JANTITY <br />AUTHORIZATION NOTICE - FLD. VISIT 1 <br /> ,,,TO,TA SSE 6 : EES <br /> ::. <br /> ;THIS.::'. RECEIPT <br /> <br /> ::: '8A~E DUE $0,00 <br />PAYEE: , :'."RECEIPT NO: <br />F:ECEIVED BYt pb :'.::::,':: ::::. : ~ ' ~PE.':: ';'CHECK ~* <br />SEE ATTAONED DOCUMENT FOR :REQUII~EMENT$ OF ON-S'ITE:,S~¢E~:SYSTEM. <br /> <br />*THIS IS A VALID PERI, IT <br />C~NSTI~UCTION FAIL..~ TO <br />ZONING OEDINI~{CI~. TI~IS <br /> <br />RFJ'4AF:KS: R~3274 <br /> <br />AMOUNT <br /> $65.00 <br /> <br /> ~85.00 <br /> 65 <br /> $0,00 <br /> <br />I3'S IS~75E ~l~. IF <br /> C(~ BUILOII~ ~O <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDING:'0FFI~iAE/ BY <br /> <br />,o,u, uc ~5-5~ n~v e/~ OFFICE COPY <br /> <br /> <br />