Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENA¥ORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:: 588-5147 8::00 - 4::30 <br />24 HOUR COOE-A-PHONE 588-7904 <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />OWN~%i E: 09/'17/90 <br />51TUS ADDn~$~q~iI. OER, ~MUEL <br /> <br />12:46:30 <br /> <br />40921-000 <br /> <br />us~gP~o OR <br /> <br />97002 <br /> <br />NE <br /> <br />CONTF~ACT CITY UGB <br />f~ARiON COUN I'Y NO <br /> <br />OCCUPANCY RESi DEN l tAL <br /> <br />N <br /> <br />LOT <br /> <br />1915 HARRISION SE <br />MiL~EAUKIE, OR §7222 <br />PHr.)NE: BSB-O$15 <br /> BLOCK <br /> <br />SECTION <br /> <br />TOWNSHIP <br /> <br /> $IIE <br />eAN~ALUA r.[ ON: <br /> <br />11235 <br /> <br />MAP <br /> <br />WIDTH <br /> <br />AREA <br /> <br />22 UNITS <br /> <br />4.5 IW <br /> <br />NO <br /> <br />5 <br /> <br />TYP~: ON-SiTE <br /> <br />PER~iF OR APPLiCAf1ON NO: <br /> <br />OONfRACIOR NO. OEQ 33458 <br />Ji~ HICKS EXCAVA iNG <br />P.O. BOX 69'1 <br />CANBY, OR 9701~ <br />PHONk: 266-5975 <br /> <br />9027318 <br /> <br />I, AAA'FERE~UPPLY~ P~ <br /> HOLES READY: <br />~IFE ~¥ALUA[iON NUfVI~ER: <br />EXi~llNG lANK ~iZEr <br />P-XiSf'ING DRAIN FIELD LiN~.S: <br /> <br />PREVIOUS NO~ BEO¼%lOf¢~: <br /> <br />IIE~ QUANTITY A~DUNI <br />REPAIR - ~a, JOR <br /> <br />TOTAL A.55ESSEO FEES <br />PRg¥IOUS REC~IRfS <br />THIS RECEIPT <br /> <br />$80.00 <br /> $0.00 <br />$80.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: WILDER. SANUEL RgCEiP1 NO: <br />RECEIVED BY: CL iFYPB: CK <br /> <br />~EE Al fACHED DOCUMENT FOR REQU~RE]'4ENrS <br /> <br />2429 <br /> <br />~ THIS iS NOT A PER~IT. THI~ APPLICATION I~JST EO Tfll~011~ A REVIE~ PR~3CE~7~ ~ERE THE <br />~3LLOWING ~UST BE CO~4PLETED. IT iS THE RE~PON~iBiLITY OF THE APPLICANT TO AS~UR£ THAT <br />ALL NECP-Z~ARY INFOR~qATION HAS BEEN PROVIDED. <br /> <br />REF'AARK5: D4AJOR REPAIR RAt40';"9 <br /> <br />CiFY JURISDICflON: BY <br /> <br />OAI'E ..... <br /> <br />OFFICE COPY <br /> <br /> <br />