Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />~0 HIGH STREET NE <br /> SALEM, OREGON 97'301 <br /> <br /> PHONE: ~88-B147 8:00 - <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> Other_ <br /> <br />OATE: 08/05/92 TI . 9.27.10 <br />SCHHIO, THOMAS ! RESIDENTIAL <br />SITUS ADDRESS: o~CU PANSY'. <br /> <br /> 7490 SHERMAN RD SE CONm*CT <br /> ~UHSV~LLE OR 97~25 H~RZON COUNTY '; NO : <br /> <br /> ............. ' <br /> <br />7496 SHERMAN RD ........................................... <br />AUMSVILLE 97325 SITE NUMBER: 92-027B3 <br />RHONE: 749-1001 VALUATION: <br /> <br /> 29 88 1W RA 48 <br /> S.64: AC YES NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 9041590 <br /> <br />CONTRACTOR, NO. <br />SCHMID, THOMAS <br />7496 SHERMAN RD <br />AUMSVILLE 97325 <br />PHONE: 749-1001 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: 1000 <br />EXISTING DRAIN FIELD LINES:: <br />SEPTIC TANK PUMPED: GIVEN FORM <br />PREVIOUS NO. 8EOROOMS: <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 <br /> <br />$150.00 <br />$130.00 <br /> $o~oo <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIPT NO: <br />TYPE: CHECK ~: 0 <br /> <br />PAYEE: <br />RECEIVED BY: OL ............................... j,_ <br /> <br /> SEE ATTACHEO DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />* THIS IS NOT A PERHIT. THIS APPLICATION HUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESRONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />REMARKS: AUTH - FIELD CHECK <br /> <br />CITY JURISDICTION: BY ......... OATE ........... <br /> <br />FORM # MO ~-~6 REV, 4/90 OFFICE COPY <br /> <br /> <br />