Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREE,,.'.'.T NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4;30 P,M. - 8:00 A.M. <br /> <br />I am performing work on a property I own or occupy, <br />I am a regi.tered'° builder OR ( ) the au~norlzed representative <br />of a registered builder, <br />The work wlll be performed by a registered b~ilder. <br />Other ...... <br /> <br /> 20448-000 i RESIDENTIAL <br /> ~GN~RLJC~ION TYPE: i ~E~J'l~,'h~'~ ....... !; <br /> <br /> 14884 KASEL COURT NE ' OON'fRAC'¢ CITY; i UGB; ~OOOUPAN~ LOAD: <br />, AU~ 0R 9?002 , ~ ~ ~ <br /> <br />:M~ILING ADE)R~S: <br /> <br /> 21823 AIRFORT RD NE <br /> AURORA 97002 <br /> PHONE: 8'/8-1444 <br /> <br />~OT: <br /> <br /> 5 1 <br />WIDTH: iDEP'~ H: <br /> <br />KA.SEL, ~..OU RT <br /> <br /> SITE NUMBER: 5499 <br /> VALUA'r.~ON.: ............................... <br /> ~OWNSH IP: RANG~; ; ;[ONE: !MAP; <br /> <br /> ~2 4S , 1,N R-1 ; 3 ................. <br />AREA: UNITS'. IRREG. LOT'. ; CORN~F'h <br /> <br /> 2.380oo AC: ...................... Bo__......i ~o_ ........................................... <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERNIT OR APPLICATION NO: 9011134 <br /> <br />CONTRACTOR. NO, <br />KASEL, ANNETTE B <br />21823 AIRPORT RD NE <br />AURORA 97002 <br />PHONE: 6'/8-1444 <br /> <br />HATER SUPPLY: ON <br />TEST HOLES READY: YES <br />SITE EVALUATION NUNSER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO, BEDROOIV~: <br /> <br />SITE EVALUATION, EA. ADOL. LOT ,_../~JOD <br /> <br /> ~/~i, , <br /> <br /> I TEN QUANT ITY ANOUNT <br /> 1 $145.00 <br /> TOTAL A~%SEE~E0 LEES $145.00 <br /> PREVIOUS RECEIPTS, $0.00 <br /> THIS RECEIPT <br /> <br /> BALANCE DUE .i:] ': : <br />PAYEE: KASEL, ANNETTE 8 . i :iN?OICE NO: 11850 <br /> <br />SEE ATTACHED____ DOCUMENT FOR~ <br /> <br />NOTE: 'PHIS DOES NOT GP, ANT OR IMPLY pF-RNIssION:TO BU:~LD,ON TH~'S PARCEL:. PLANNING AND <br />CONSTRUCTION PEI:~*IIT$ MUST BE CSTAINED BEFORE,BUILDING OR SEPTIC INSTALLATION BEGINS. <br /> ;OI JU]:RIS~CT ton <br />PLAN REVIEN: BY DATE ..... TY:. <br /> .......... -* 8Y DATE <br /> <br />REIgLARKS= SITE EVAL . ' <br /> <br />FORM" MC 15'Sll ~6V ~/~/ OFFICE COPY <br /> <br /> <br />