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-PHONE 4::30 P,,M, - 8;00 AM <br /> <br />DATE; 04/2?/88 TIME,* 11:02:55a <br /> LARSEN, BYRON <br /> <br />SIGNATURE OF APPLICANT <br /> BATE <br /> <br /> TAX LOT <br /> 75440-120 <br /> <br /> CONSTRUCTION TYPE <br /> <br />CATEGORY <br /> RESI DENT I AL <br /> <br />OCCUPANC~ <br /> <br /> 11576 MCCLELLAN LANE SE <br />AUMSVI LLB OR 97325 <br /> <br />SAME <br /> <br />PHONE: 769--7169 <br /> <br /> 1 O3 <br /> $0 120 7200.00 <br /> <br /> UGB <br /> CONTRACT CITY <br /> <br />MARION COUNTY NO <br /> <br />SUBDIVISION <br /> <br /> WEST STAYTON <br /> <br /> SITE NUMBER: ~ <br /> VALUAT i ON; <br /> <br /> RANGE ZONE <br />9S 2N AR <br /> IRREG LOT CORNER <br />SF NO YES <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PER~IT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />LAP, SEN, BYRON <br />S4jVlE <br /> <br />PFIONE: ?69-? 169 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: WILL BRING IN <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />AUTHORIZATION NOTICE - FLD. VISIT <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> $65,00 <br /> <br />$65,00 <br />$55.00 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: JB TYPE: CHECK <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SE'WAGE SYSTEM, <br /> <br />* THIS IS A VALID PER~IT * THIS PE~IT EXPIRES 360 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION FAILS TO MEET ALL REQUIREMENTS OF STATE LA~ AND MARION COUNTY BUILDING ANB <br />ZONING ORDINANCES, THIS pERDIIT SHALL BEOOC4B NULL AND VOID. <br /> <br />DONALO E. WOODLBY, MARION COUNTY BUILDING OFFICIAL / BY .... ~./-.~z., _~--~'A%.,..,..,..,..,..,.~¢~.-%. ..... <br /> <br /> <br />