Laserfiche WebLink
SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br />SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy <br />I am a registered builder OR the authorized representative SIGNATURE OF APPLIGAN <br /> Of a registered builder, <br />The work will be performed by a i'egistered builder. <br />Other <br /> <br /> 0A'f'E: 06/07/91 TIME: 8:57:49 <br />OWNERI TAX LOT: <br /> CAI"I'S-'I'UCKER, FREOERICK <br />SITU~ ADDRESS; CONSTRgCTION TYPEi <br /> <br /> CATEGORY: <br /> <br />IOCCUPANCY: <br /> <br />RESiDEN f 1 AL <br /> <br /> 18858 CASE ROAD NE CONTRACTC;TY: ' 0bB: <br />AURORA OR 9?002 <br /> t4ARi ON COUNI'¥,: NO <br /> <br />MAIUNG ADDRESS: SUBDIVISION: <br /> <br />1624 SE 441'H <br />PORTLAND 97215 <br />PHONE: 236'-6947 <br /> <br />LOT: BLOCK~ <br /> <br />SECTION: : TOWNSHIP: <br /> 25 48 <br />AREA; UNITS: <br /> ?. 85 AC <br /> <br />~II'E NUI',IBER: 10010 <br />VALUATION: <br />RANGE; ~ Z~NE: <br /> <br /> 2W EFU <br />IRREG LOT: co'HER: <br /> NO: NO <br /> <br />MAP: <br /> <br />I'YPE: CW-SII'E SEWAGE <br /> <br />PER. Il' OR APPLi~AI'ION NOt 9032?70 <br /> <br />CONTI;~C'I'OR, NO. <br />GAT'rS-TUCKER, F'REOERiCK <br />'1624 SE 44'f'H <br />POR'rLAND 97215 .~.,~ <br />~ONE: 23~-694'7 <br /> <br />WATER SUPPLY: <br />'FE~'F HOLES READY: <br />SiTE EVALUATION NU~3ER: 85-354 <br />E)(iSTING 'rANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEP'f'iC TANK PUMPED: <br />PREViOtJS NO. BEDROOf~S: <br /> <br /> 1 TEN Q~LIAN T i 'f'Y AfViE~JN 'f' <br /> SAND PILTER '] $300.00 <br /> ,.~ /~ ~ , / ~ ~ ~ TO'FAL ~E~ED FEES $300.00 <br /> <br /> ~, FREdERiCK ~ RECEIPT' NO. 34563 <br /> RECEIVED aY: ~2 ................................ :=.:__:;.. ,,,.~: .... TYPE: OK CHECK ~ 4645 <br /> S~E AI'I~;HED ~U~'f' FOR RE~IRER~'f'S OF ~-SITE ~B~E SYS'f~. <br /> <br />~ THI~ ~ NOT A PE~IT. THI~ APPLI~Ti~ ~ST ~ TH~ A R~t~ P~ ~ERE THE <br />~L~ING ~ST B~ ~P~T~O+ . iT 1S THE R~iBiLITY OF THE APPLI~T TO ~RE THAl <br /> <br />R'ENARKS; SAND FILTER R~7693 <br /> <br />CiTY JURi~DIC'IION: BY DAlE <br /> <br />.o~ ,~ ~c ~s.5* REV. 4/~ OFFICE COPY <br /> <br /> <br />