Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />2~0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: S88-7904 <br /> <br />I am performing work On a property I own or OCcupy, <br />I am a registered builder OR the authorized represen <br /> of a registered builder, <br />The work will be performed by a registered builder. <br />Other <br />I have read and agree to the terms sta~ed on the reverse side of <br />this document, <br /> <br /> KAI[_EY,~ JOHN H,, <br />SITUS ADDRESS: <br /> <br />, 74730-010 <br /> CONSTRUCTION TYPE: <br /> <br />CATEGORY: <br /> <br /> RESIDENTIAL <br />OCCUPANCY: <br /> <br /> CONTRACT CITY; <br /> 7?40 STONEFIELD CT SE !"LJ~'~i i OCCUPANT LOAD; <br />AOMSVILLE OR ?7325 : MARION COUNTY. NO <br /> <br /> S~ONE., GLEN <br />7~3e STONEFIEL9 CT SE <br />AUHoVILLE OR ¢7~25 SITE NU~BEE: ~3-82718 <br />PHONE: ?4o-&~,.~ VALUATION: <br /> <br /> ~ N NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO~ <br /> <br />CONTRACTOR, NO. <br />KAILEY, JOHN M, <br />7~0 STONEFIEI,.D CT SE <br />AUMSVILLE OR 97~2S <br />PHONE: 745-6222 <br /> <br />4897~ <br /> <br />WATER SiJPPLY: PW <br />TEST HOLES REABY: YES <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING ~RAIN FIELB LINES: <br />SEPTIC TANK PUMPEB: <br />PREVIOUS NO, BEBROOM$: <br /> <br /> ITEM QUANTITY AMOONT <br />SITE EVALUATION~ FIRST LOT 1 $265.00 <br /> <br /> T~L ASSESSED FEES $26~,00 <br /> PREVIOUS RECEIPTS $2~5,08 <br /> THIS RECEIPT $0,00 <br /> BALANCE BUE $0.00 <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: PB TYPE: CHECK ~: 0 <br />SEE ATTACHED 90COMEN'? FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />NOTE: 'THIS ~OES NOT GRANT OR IMPLY F'E~MISSION TO B(JILB ON TNiS PARCEL, PI,,.ANNING AND <br />ONSTROCTION PERMITS MUST BE OBTAINEB BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS. <br /> <br />REHARKS: SE. MARGINAL ro~ SAND FILTER PLUS FULL CAPPING FILL. STAKEOUT ~,,~q~R;O. <br />DSNAL;O E. WOODLEY,~ MARION COONTY BUILDING OFFICIAL / BY ..................... ,~ .............. <br /> <br />OFFICE COPY <br /> <br /> <br />