Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: $88-S147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />this document· <br /> DATE: 07/~0/92 <br /> <br /> 12217 DONALD RO <br /> AURORA <br /> <br />O{ a registered builder, <br />The work will be performed by a registered builder. <br />Other ......... <br /> <br />TIME: <br /> <br /> NE <br />OR 97002 <br /> <br /> ~-00109i55-92 <br /> <br />F t b%l Ce UNTY <br /> <br />OATEGORYi <br /> RESIDENTIAL <br /> <br /> USE OF BUILDI,_N..G: <br /> <br />;?AiLiN~ AC[:)RBSS: <br /> SAHE <br /> <br /> PHONE: &78-1456 <br /> <br /> : BLOCS; <br /> <br />SUBDIVISION <br /> <br />SITE NUMBER: 92-02717 <br />VRLUAT ION: <br /> <br />~ECTIOh <br />AReA 201. <br /> <br />1W EFU <br />Lo : <br /> <br />TYPE= ON-SITE SE#AGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR~ NO. <br />ZACHER, GALE <br />SAME <br /> <br />PHONE: 678-1456 <br /> <br />41467 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTIN~ TANK SIZE; ~000 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: 7/25/92 <br />PREVIOUS NO. BEDROOMS: 3 <br /> <br /> ITEM <br />AUTHORIZATION NOTICE - FLD. VISIT <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> 1 $150.0o <br /> <br />$130.00 <br />$130.00 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br /> TYPE: CHECK <br /> <br /> RECEIVED BY: PB .......................... 0 <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />* THIS IS A V~LID PERflIT * THIS PERHIT EXPIREs 560 DAYS FROH ITS ISSUE DATE. iF <br />CONSTRUCTION FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS ANO MARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS PERMIT SHALL BECOME NULL AND VOIO. <br /> <br />REMARKS: AUTHORIZATION FIELD VISIT ~ <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ........................~ <br /> <br /> OFFICE COPY <br />FORM # MC 1 ~-~6 REV, 4~9o <br /> <br /> <br />