Laserfiche WebLink
MARION COUNTY <br /> BUll.DING I NSP[;,CTION <br />Sen:-tt~r Building - 220 High Street NE · Second Floor ,~ Salem, Oregon 97.~111-3670 <br /> <br /> Offlc~ Hours: 8:00- 4:30 Phone: 588-5147 Cod¢-A-Phol~¢; 4;30 p.m. - 8:00 a,m, <br /> <br />DATE: 08/08/99 TIME: 11:50:54e <br /> <br /> SHEPARD, BOBBY <br /> <br />57658-000 <br /> <br />RESIDENTIAL <br /> <br /> 9161 SMITH RD <br />AU~S, VILLE OR 97325 <br /> <br />SE <br /> <br />I~RION COUNTY NO <br /> <br />SSME <br /> <br />PHONE: <br /> <br />749-2407 <br /> <br />SITE NUMBER: 4904 <br />VALUATION: <br /> <br /> 24 8S 2W SA <br />3.00000 AC NO NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO_ <br />SHEPARD, BOSSY <br /> <br />PHONE: ?49-240? <br /> <br />9010266 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUAT2ON NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: WILL 8RING <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM CUANTITY AMOUNT <br />AUTHORIZATION NOTICE - FLD. VISIT 1 $105.00 <br /> ,~(~ TOTAL ASSESSED FEES $105.00 <br /> ,~O PREVIOUS RECEIPTS $0.90 <br /> THIS RECEIPT $105.00 <br /> ~ BALANCE DUE $0.00 <br /> <br />PAYEE: SHEPARD,. 8OBSY <br /> ~ RECEIPT NO: 10947 <br />RECEIVED SY: PS ._~/~¢~.g TYPE: CK CHECK .~: 152 <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />* THIS IS NOT A PERMIT. THIS AI:'PLICATION MUST GO THROUC~ A REVIEW PROCESS ht-IERE THE <br />FOLL~ING I~UST BE CO~LETEB. IT IS THE RES~:~NSIBILT~ OF THE APPLICANT TO AS..~RE 'BLAT <br />ALL NECEF:xg~RY INFOI:~4ATION HAS. BEEN PROVIDED. <br /> <br />REMARKS: AUTH HARDSHIP R~:4339 <br /> <br />CITY JURISDICTION: 8Y DATE <br /> <br /> <br />