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 />I am a registered builder 01~ ( ) the authorized representative SIGNATURE OF APPLICANT; <br /> of a reDistered builder, <br /> <br />Other__ <br /> <br />I~N~ .......................... }~,AX LOT; I CATEGORYr <br /> i c~_~ ~ "T <br /> F'68~C TY: i UGB: I OCCUPANT LOAD: <br /> , I ~ , <br /> <br /> ~ .................................................. <br /> <br /> 1~,, AC NO NO <br /> <br />TYPE: ON-SITE SEWAGE WATER SUPPLY: F'W <br /> TEST HOi..E~ READY: YES <br /> <br /> ~ A~ h EXI~TIflG 'TANK SIZE: i~ <br />CON H~A6TOR~ 140. L,[NLS. I..~, ~ <br /> <br />' DIIE. '"~ 186 ::; ', ';' ' <br /> I TE~ ": QUANT I TY A~OUi,FF <br /> <br />!;FEES $t5g,. OB <br />PTS: li~O ,, (th <br /> <br /> RECEIVFD I.~Y~ mb '~/ I/\ Jt~-'~"2 ::~:'*::' ~¢::'"'::,,' ::'" : TYPE'." CK rFE(,< 4~: 6¢74 <br /> .............. ,, ~ f' ~:" ~ ~*' ~ ~"' ~ "c"" ~ ................................................................................ <br /> SEE ATTACHED D[CUMENT ;FOR;,R~B[]IR:E:NEfl:~ '8F.';ON~SIi[E SEWAQE SYSTEM. <br />* THIS IS NOT a PERMIT~ REVIEW PROCESS WHERE THE <br />FOLLOW][NIl MUST BE OF' THE AF'PLICAN'f' TO ASSLIR[] '¢h~A'f' <br />6I...L NECESSARY IblFORHAFION <br /> <br /> <br />