Laserfiche WebLink
MARION COUNTY BUILDfNG INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:20 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> DATE: <br /> <br />ow~.rC~!I'E: 09/0?/90 IJ.I'4E: '13:08:'18 ~ LOT <br /> <br />SITUS ADDRESI~/~''?NROE* NiCHAEL R ' CONSTRUCTION f'YPE: ~¢0390--04D <br /> <br />120 3RD ~'r -- <br />OETROi T OR. 9'f B~2 <br />USE OF ~UILDIN6' <br /> <br />CAT,GORY: <br /> <br /> RES l DEN'I 1AL <br /> <br />PATTON ADDI'f ION I <br /> <br /> PHONE: 854-,34f~5 Si <br />LOT:BLOCK SECTION rowh sNrP =,,N"~..LUA'T' iON ! ZONE; <br /> <br />MAP: <br /> <br />WIDTH: <br /> <br />DEPTH 4 AREA: '2~ UNITS'. ~ RR~G LOT 21~ CORNER <br />- '~ '~ 9 *, 9800, <br /> <br />TYPE: ON-Si'T'E SEt4AG~ <br /> <br />PERMIf OR APPLICATION NO: 9027060 <br /> <br />CONTRACTOR, NO- 36421 <br />KEVIN'S BACKHOE SERVICE <br />P.O. SOX 465 <br />DETROIT', OREGON 97342 <br />PHONE: <br /> <br /> il'EM <br />R PA,R - JOR <br /> <br />PAYEE: KEV~N' ~ BACKHOE ~ERVICE <br /> <br /> WATER ~JPPLY: ON <br /> TEST HOLES READY: <br />8IT~ EWALUATiON NUfVfBER: <br />EXiS'fiN~ 'TANK SIZE: <br />~:N,¢'×I~'FiNG D~[N FIELD LiN~; <br />''sEP'T!C [~K ~MPED; <br /> °~E~/DgUS NO. 8ED~: <br /> <br />TOTALAS.~E~ED FEES <br /> PRE¥iOUSREOEIPTS <br /> 'THIS RESEIPI' <br /> <br />BALANCE DUE <br /> <br />QUANI'ITY AMOUNT <br /> <br /> $80.00 <br /> $o.oo <br /> <br />$0_00 <br /> <br />iNVO1CE NO: 2864.1 <br /> <br /> RECEiVEU BY: c'l .............................................................................................. TYPE: iN CHECK ~: 0 <br /> <br /> SEE A'I"IACHED DOCUMEN'f FOR REQU.IRENF..N'rS OF ON-SITE SEq~AGE <br /> <br />* THIS IS NOT i PEI~IT_ THIS APPLiCATiON MU,~T GO THROUEH A REVIEW PROCES~ t,~-tERE THE <br />FOLLONING NUST BE COf4PLETED2 IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASPIRE THAT <br />ALL NEOES.SARY iNFQ~TION H~$ I~E~N PROVIOEO. <br /> <br />REMARKS: IvCAJOR REPAIR <br /> <br />CITY JURiSDICTiON: BY <br /> <br />OATE. ............................. <br /> <br />OFFICE COPY <br /> <br /> <br />