Laserfiche WebLink
MARION COUNTY BUILDING ~NSPECTION <br /> SENATOR BLDG, NO. 225 <br /> 220 HIGH STREET NE <br /> <br /> PHONE: 888-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: B88-7904 <br /> <br />of a registered builder. <br /> <br />Other <br />I hsve read and agree to the terms stated on the reverse side <br />this ctocument. <br /> <br /> D~TE: 11/16/92 TIME: 15:13:48 <br /> PIERCE., TOM & BETM <br /> <br />RESIDENTIAL <br /> <br /> 13047 NAPLE LEAF Of <br /> AURORA <br /> <br />MAiLiNG AOORESS <br /> <br /> SANE <br /> <br /> PHONE: 678-1067 <br /> <br />OR 97002 <br /> <br />CONTRACT CITY UGB OCCUPANT LOAD <br />NqRION COUNTY NO <br /> <br />SUgOIVI$10N <br /> <br /> MAPLE LEAF ESTATES <br /> <br /> SITE NUHBER: 92-04026 <br /> VALUATION: <br /> <br />LOT; BLOCK. SECTIOr~ <br /> 8 2 22 <br /> 105 570 <br /> <br />59850. <br /> <br />TOWNSHIP: RANGE ZONE' <br /> SF NO NO <br /> <br />TYPE: ON-SITE SENa6E <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />PIERCE, TOM & BETH <br />SAME <br /> <br />PHONE: 678-1067 <br /> <br />9045918 <br /> <br />WATER SUPPLY: RW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTIN6 TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIO TANK PUMPEO: <br />PREVIOUS NO. <br /> <br /> I TEH QUANT I T Y AMOUNT <br /> AUTHORIZATION NOTICE - FLO. VISIT I $150.00 <br /> <br /> TOTAL ASSESSED FEES $130.00 <br /> PREVIOUS REOEIPTS $0. O0 <br /> THIS REOEIPT $150~00 <br /> <br /> BALANCE DUE $0~00 <br /> <br /> PAYEE: PIERCE, TDtt & t~TH RECEIPT NO: 45989 <br /> RECEIVEO BY. M8 ~ TYPE <br /> " ~ __ : OK CHECK f~: 2183 <br /> <br /> SEE ATTACHEO DOCUMENT FOR REQUIREMENT~ OF ON-SiTE SEWASE SYSTEM. <br /> <br />* THIS IS NOT A PERMIT. THIS APPLICATION ~UST ~0 T~OUGH R REVIEW PROCESS ~ERE THE <br />FOLLOWING HUST BE COHPLETED. ~T [S THE RESPONSiBiLiTY OF THE APPLICANT TO ~SSURE THaT <br />~LL NECESSARY [NFORH~T[ON HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY___~_(~___. DATE ......... _~./~'Z.~n--:), -"~J[.~¢'2~- CITY JURISDICTION: BY <br />REMARKS: AUTHORIZATION <br /> <br />DATE <br /> <br /> OFFICE COPY <br />FORM # MC 15,56 REV, <br /> <br /> <br />