Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 H~GH 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 />I am performing work on a property I own or occupy. <br />I 8m 8 resistered builder OR the aufhorized rop¢esentative <br /> of a registered builder, <br />The work will be performed by a registered bolJdor. <br />Other <br /> <br /> DATE: ':~ ,I. ~. 3,:_. 04 <br /> 0Z:/I~_/93 TINE!! , ~,. "~.r <br /> <br />scrUSADOq~!ER,~ DAN:I:EL E. <br /> <br />LOT' CATEGOR~ <br /> <br /> CONTRACT CITY: CGB' OCCUPANT LOAD: <br /> 1181& STEINKAMP R~ SE <br />AUMSVILLE OR 77~25 MARION COUNTY NO <br /> <br />715 EWALD AVE SE <br />SAI._E~ OR 97~02 SITE NUMBEIE: <br />PHONE: 3&;~-&518 VALUATION: <br /> <br />WmT~: ':O[PTU; 'A"~ .... OhiTsSS' .......... i~, [o:rl <br /> <br />48 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />~ONTRACTOR,. NO. <br />BNYDER. DANIEL <br />715 EW~I_D AVE SE <br />SAI,.EH OR 97~02 <br />PHONE: <br /> <br />WATER SUPPLY: PW <br />TEST ROLES REAQY: NO <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREV]:OUS NO. BEDROOMS: <br /> <br /> ~"l'Efi QUANTITY AHOUN~' <br />SE'rE EVAL, UAT]:ON~ EA. ADD[,,. LOT 1 $225.00 <br /> <br /> TOTAL ASSESSE~ FEES $225.00 <br /> PREVIOUS RECEIPTO $225.00 <br /> THIS RECEIPT $0,00 <br /> <br /> BALANCE DUE $0.00 <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: PB TYPE: CFIECK :~; 0 <br /> <br />SEE ATTACHE~ DSCI]~ENT FOE REBUIRE~ENTS OF ON--SITE SEWAGE SYSTEM. <br /> <br />NOTE: THIS i!OES 'NOT (;,RANT OR IMPLY PERMISSION TO BIJ'rl~ ON THIS P,A, RCEL. PLANNING AND <br />ONSTRU¢,TION FEI::HITS MUST BE OBTAINED BEFORe:. BUILDING OR SEPTIC INSTALLATION BEI;-INS. <br /> <br />REMARKS: <br /> <br />D~NA[..D E. <br /> <br />~ITE EVALUATION LOT ~. STANBARD SYSTI_::H PLUS CIJRTAIN DI:~AiN. ~ ~' <br />WOODI...EY.~ MARION {,OJNTY BUILDINI; OFFICIAL / BY ............................................................ <br /> <br /> OFFICE COPY <br /> <br /> <br />