Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR 1BrinG/NO. 2';'5 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> of a registered builder. <br /> <br /> DATE: 08/19/92 TIME: 11:10:55 <br /> SMITH, HAROLD M <br /> <br />ADDRESS: <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> SIGNATURE OF ARPUCANT: <br /> <br /> ¢, 157646-000 f RESIDENTIAL <br /> [ ~DN ~¥ ~-u~5'i~i~ YY~ i O~OUPANGY: <br /> <br />AUMSVILLE OR 97325 fi~[u~Cf,T ~'rO~UNTY <br /> <br />9032 SHITH RD SE <br />2UHSVILLE, OR 97525 ~ ~~,, D~v ~% SITE NUHBER: 92-0299g <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />SMITH, HAROLD H <br />9032 SMITH RD SE <br />AUMSVILLE. OR .97~25 <br />PHONE: 74~-2345 <br /> <br />9042014 <br /> <br />WATER SUPPLY: <br />TEST HOLES READY,'YES <br />SITE EVALUATION N~: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPEO: <br />PREVIOUS NO. 8EORO0~S; <br /> <br /> ITEN <br />SITE EVALUATION, FIRST LOT <br /> <br />QUANTITY ANOUNT <br /> I $220..00 <br /> <br />-OTAL ASSESSED FEES $220.00 <br />PREVIOUS RECEIPTS $0.00 <br />· THIS'RECEIPT $220.00 <br /> <br />~;AL~ANCE':QUE $0.00 <br /> <br />PAYEE: SMITH, HAROLD M RECEIPT NO: 44059 <br />RECEIVED BY: CL .................................. TYPE: CK CHECK ~: 587 <br /> <br />SEE ATTACHED DOCUMENT FOR RE. QUIREffENTS.~OF ON-SITE SEWAGE ~YSTEM. <br /> <br />NOTE: THIS DOES 'm'r GRANT OR :IMPLY PE~M:IS$ION TO BUILD ON THIS PARCEL. PLANNING ANO <br />ONSTRUCTION PERMITS.~MUST BE 08T~.INE~ BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS. <br /> <br />REMARKS: SE <br /> <br /> OFFICE COPY <br />FORM #[MC ~ 5.~8 REV, <br /> <br /> <br />