Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR ~,LDG, NO 225 <br />220 HIGH STREET NE <br /> SALEM= OREGON 97301 <br /> <br /> PHONE 588~5147 <br />CODE-A-PHONE 4::30 PM - 8::00 AM <br /> <br />04/08/89 TIME; <br /> <br />~TUS ADDRES~OHN~. "EARL <br /> <br /> MILL CREEK RD <br />usCtJf~M~4c4..,E, OREGON <br /> <br />OR <br /> <br />1:48:52p <br /> <br /> SE <br /> 97325 <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTrON TYPE <br /> <br /> CONTRACT OITY UGS <br /> <br />~4AR ION COUNTY <br /> <br />NO <br /> <br />OCCUPANCY RES [ DENT I AL <br /> <br />OCCUPANT LOAD <br /> <br /> NO OFBEDROOMS <br /> <br /> SAJ'vfE <br /> <br />~.¢PHONE ~ ?49-~,~ 1 <br /> <br />SECTION <br /> <br />TOWNSHIP <br /> <br />~,~E NUf4BER: ZONe <br /> 'ALUAT[ON ~ <br /> <br />4275 <br /> <br /> UNITS <br />26 <br /> <br />83 2W EFU 51 <br /> <br />35.'0000 AC NO .... NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PER~IT OR APPLICATION NO.+ <br /> <br />CONTRACTOR, NO. <br />JOHN¢C:)N, EARL <br /> <br />PHONE: 749.~2801 <br /> <br />14938 <br /> <br />WATER SUPPLY; PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: 1000 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: 2 HOUSE <br /> <br />ANNUAL EVAL_ - TEMP OR HDSHP MH <br /> <br />TOTAL ASgBSSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY A~OUNT <br /> $80_00 <br /> <br />$60.00 <br />$80.00 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO= <br /> <br />RECEIVED BY: CL .......................... T'Y'PE~ CHECK ~: <br /> <br />SEE ATTACHED DOCUMENT FOR REQUZREJ'4ENT$ OF ON-SITE SEWAGE SY~TEN- <br /> <br />*TH[S IS A VALID PER'lIT ~ THIS PER~4IT EXPIRES 360 DAYS FRO~ ITS ISSUE DATE~ IF <br />CON~i~UCTION FAIL. TO ~EET ALL REQUIR~4~NTS OF STATE LA~ANDNARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PEE~IIT SHALL BECONE NULL AND VOID. <br /> <br />REMARKS: ANNUAL EVAL HARDSHIP R~7369 <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> <br />