Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />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 /> am performing work on a property I own or occupy. ; ~ <br /> am A registered builder OR ( ) the authorized representative SIGNA URE Of APPLICANT: <br />of a registered builder, <br /> <br />O~her <br /> <br /> CHASE, ELHER <br /> <br />71030100 ! RESIDENTIAL <br /> <br />LOT: <br /> <br />WIDTH: <br /> <br /> 11714 JAHES WAY DRIVE SE i~)N~R'A~T'Ci~yi !tJ~B: <br />AUifiSVILLE OR 97325 'MARION BOUNTYI MO <br /> <br /> DITTER HILLS TRACTS <br />11644 JAMES WAY DR SE ........................ <br />ADMSVILLE 9732,5 SITE NUMBER: 9:~-03084 <br />PFIONE: 749-'1410 VALUATION: <br /> <br /> :BgObK; i~fidH: ........... ~'fG~h~hlP: - -, RANGE'. .... ; ~: ' MAP: <br /> ~ ~ 8s 48 <br /> : 1.51 AC ' NO NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR~ NO_ <br />CHASE, ELHER <br />11644 JAMES WAY DR SE <br />~UMSVILLE 97525 <br />PHONE: 749~1410 <br /> <br />9042192 <br /> <br />HATER SUPPLY: PH <br />TEST HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />EXISTING TANK S~ZE: <br />EXiSTiNG ORAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY <br />SITE EVALUATION, EA. ADDL. LOT 1 <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br />AMOUNT <br /> $1.8.5 ,, 00 <br /> <br />SI, SS. O0 <br /> $0. O0 <br />$185.00 <br /> <br /> ¢ ~ BALRNCE DUE $0.00 <br /> <br />PAYEE: CHA~E. ELMER ~ . RECEIPT NO: , 44250 <br />::::::::::::::::::::::::::::::::::::::::::::::: .......... <br />SEE ATTACHED DOCUMENT FOR RECUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />NOTE; TNIS DOES i~u, GRANT OR IMPLY PERMISSION TO BUILD ON THIS PARCEL. PLANNING AND <br />ONSTRUCTION PERMITS MUS,.T DE OBTAINED BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS_ <br /> <br /> .... .... 7.-¢ .............................. <br /> <br /> OFFICE COPY <br />FORM # MC 15-~ REV, 4/¢0 <br /> <br /> <br />