Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. 225 <br /> 220 HiGH STREET NE <br /> SALEM, Q~EGOf~ 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 RM, - 8;00 A.M. <br /> <br />I am a registered builder OR ( ) the authorized representative SIGNATURE OF APPLICANT: <br />Of a ragistored builder. <br />Tha work will be performed by a registered builder, <br /> <br /> 08/28/89 TIME; <br /> e , ~ " OAVI 0 <br />ADDR ~ S~':" I ,..Uv,O R, <br /> <br />2:23:08p <br /> <br />TAX LOT: CATEGORY: <br />~00 'l 0...-000 <br /> <br />RES } DEB[ 1-'[ AL <br /> <br />23~2 I SChU L.'['Z ROAD N E GONTRACT CITY: UGB: <br />AI,JF<OALA. OR 97002 <br />use oF BUILDING: MARION COUNTY NO <br /> <br /> 23751 SCHUL'FZ RD NE <br /> AURORA 9'7002 <br /> PH(3hl E; ? 5 S .-- ] ! 2'? <br />LOT: SHOOK: <br /> <br />WIDTH: DEPTH: <br /> <br />SECTION: TOWNSNIP: <br /> <br />AREA: 32 UNITS: 30 <br /> 5,21000 AC <br /> <br />SITE NUMBER= 8226 <br />AANe~©: ZONE: <br /> <br />NO <br /> <br />MAP' <br /> <br />='YPE: ON-.,STTE SEN,AGE <br /> <br />:)ERPlI1 OR APPL.!CATION NO: <br /> <br />CONTRACTOR, NO. <br />GI LLMOR, DAVJD <br />23751 SCHLILTZ RD NE <br />AURORA 97002 <br />PHONE: ?$8-1'127 <br /> <br />9018,4,86 <br /> <br />NATER SUPPLY: <br /> TEST HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />E.X[ST[NG TANK SIZe: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVZOdS NO- BEDROOMS: <br /> <br /> I 7'D~ 3U AN T ]. TY Ah4OU N "r <br />SITE EVALtJATION, FIRST ..CT ~ ,t,.,75 00 <br /> <br />TOTAL &,~.SESSED FEES <br />PREVIOUS RECEIPTS <br />-HiS RECEIPT <br /> <br />$0_00 <br /> <br /> ,h t'",,:, ',' BALANCE OUE $0.30 <br />PAYEE: GILLMOR, DAVID .... ;," ~*~% :' : RECEIPT NO: ~6.0 <br />RECEIVED BY: ON ::~" : ,~ ," , ~PE~' CK CHECx ~: 35?3 <br /> <br />GEE AT~ACHED DOCUMENT FOR RE~'IR~TS OP',~=SlTE 'SEWAGE' SYSTEM <br /> <br />NOTE: THIS DOES NOT GRANT O~:"IhIPEY':PER~I&SION"TO BUILD:ON THIS PAI:~SEL. PLANNING AND <br />CON,S, TRUCTION PER~I~'¢~ST ~,~,~TA:~:N,ED .sERT~c INSTALLATION BEGINS_ <br /> <br />REfVIARKS: ,'9]'1'E EVAL R¢;7047 <br /> <br />FO~M # MC 15-S6 REV 11/88 OFFICE COPY <br /> <br /> <br />