Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH 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 />Other <br /> <br />OwN~b. BATEi. , <br /> CI-IECI',AL,j JOHN <br />SITUS ADORESS: <br /> <br />'I-IME: 10:4~:54 <br /> : TAX LOT: <br /> <br />CONSTRUCTION TYPE: <br /> <br />OCCUPANCY: <br /> <br /> 132].~ BROOK$IDE DR <br /> <br />USE oF BuiLoiNG: <br /> <br />MAILING ADORE$$; <br /> <br /> SAME <br /> <br /> PHONE: 678--$414 <br /> <br />NE ~ONTRACT GITg; UGBZ <br /> <br />AURORA OR ?7002 , MARION COUNTY: NO <br /> <br />OCCUPANT LOAD: <br /> <br /> NO OF BEDROOMS <br /> <br />SUBDIVISION: <br /> <br /> SITE WUHBER: <br /> VALUATION: <br /> <br />; 1.2 AC YES NO <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: NO <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: 18Q0 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED~ 11-16-87 <br />PREVIOUS NO. BEDRQQMS: <br /> <br />TYPE: OH-SITE SEWAGE <br /> <br />PERMIT OR APPLICATIOH <br /> <br />CONTRACTOR. NO. <br />CHECKAL~ JOHN <br />~AME <br /> <br />PHONE: ~78-5414 <br /> <br />9~48667 <br /> <br /> ITEM QUANTITY AMOUNT <br /> REPAIR - MINOR 1 $85.00 <br /> TOTAL ASSESSEDFEE$ $85.00 <br /> PREVIOUS:RECEIPTS $0.00 <br /> THIS RECEIPT <br /> <br /> BALANCE DUE $0.00 <br /> <br /> PAYEE: OHECKAL~ JOHN RECEIPT NO: 5~074 <br /> RECEIVED BY: MB ..................................... TYPE: OK CHECK ~: <br /> SEE ATTAEHEB ~OOUMENT FOR ~EOUI~EMENT8 OF ON-SIT£ SEWAGE SYSTEM. <br /> <br /> * THIS IS HOT A PERMIT.' THIS APPLICATIOH HUSTGOTHROUGH A REVIEW PROCESS WHERE THE <br />FSLLOWING MUST ~E COMPLETED. IT IS THE RESPONSibILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION HAS BEEN PROVIDE~. <br /> <br />REMARKS: RPR: <br /> <br />OFFICE COPY <br /> <br /> <br />