Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OI~EGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PRONE: 588-7904 <br /> <br />I am a regtstered builder OR the authorized representative SIGNATURE OF APPLICANT: <br />of ~ registered builder, <br />The work will be performed by a registered builder. <br />Other. <br />I have read and agree to the terms stated on the reverse side of DATE: <br />this document. <br /> <br />0?/05/90 <br /> <br />CONSTRUCTION TYPE: OCCUPANCY: <br /> <br />s*Tus ^DDRE~CI'U'I'HEI'1', Ri'CHARD <br /> <br /> 5991NALINA COURT SE <br /> iV!ARJON COUNTY NO <br />MA~UNOADD~SS: ~U~dw~NiShl <br /> <br /> 6830 SUNSE'I NAY <br /> I'URNER, OR 97392 <br /> PHONE: 743--2723 <br />LOT: BbOCK: <br /> <br />'SECTION[ ' TOWNSHIP: <br /> <br />OOCURANT LOAD: <br /> <br /> ROLL. lNG GREE..~N ES'fAI'E~ <br /> <br />SiTE NUMBER: 1058G <br />:RAN~LUATZON:'ZONe: MAP: <br /> <br />WI gil'H: ~ E <br /> <br />200' '~0~' 8rJrJr-?3. ~ ,,;,,, .... NO NO <br /> <br />AR <br /> <br />49 <br /> <br />TYPE: ON-St'f'E S~NAGE <br /> <br />PEPJ'4J'f' OR APPLiCA'f'[ON NO: <br /> <br />CONI['F~AC'FOR, NO. <br />S'f'UTHE[T. RICHARD <br /> <br />9025358 <br /> <br />WATER SUPPLY: P~ <br />TEST HOLE~ READY: YES <br />S]'f'E EYALUA'f'[ON NUIVIBER: <br />EXi~'T']NG TANK SiZE: <br />EXISTING DRAIN FIELD LiN~: <br />SEPTIC TANK PU~PED: <br /> <br />6830 SUNSET NAY ·--, PRE¥[OUS NO. <br />TURNER,,OR 9?392 .¢'~Lb .0("~/ <br />PHONE: 14~-2723 ~ <br /> <br />SZ'f'E EVALUAI~ON, EA AODL. LOT ' <br /> <br /> ~ TOTAL ~E~ED FEES $145.00 <br /> PRE~S RECE[PTS $0.00 <br /> THiS RECE[F'i' $t45_00 <br /> DANCE ~E $0,00 <br />PAYE~: ~'iU[HEi[', ~i~ARC NbCEIP'I' NO: 2685? <br />RECBIVED BY: [~2 TY~E: CK CHECK ~: 149 <br /> <br /> NOTE: THiS DOE~ NOT GRANT OR [/~PLY PEf~I~iON TO BU1.LD ON TH/~ PANEL. P~NING ~O <br />~ST~CTI~ PE~I~S l~ST· ~ BE ~TAiNEO~ _- --BEFORE BUiLDiNG OR SEPTIC INSTAL~TI~ BEGINS. <br /> P~N <br /> REVLON: <br /> <br /> N~MARKS: ~i T'E EVALUATION <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV. 4/90 <br /> <br /> <br />