Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, QRE'GON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A;PHONE: 588-7904 <br /> <br />of a registered builder, <br />have read and agree to the terms stated on the reverse side of DATE <br /> <br />I OWNER; <br /> 6It. LMORE, DAVID 4~el 08 ~ESIDEN';'IAL <br /> <br />.r AURORA11145 OAK MEADOW LN OR 97~e2NE , iAR~ON~g~-8~f~COUNT'Y ~O <br />.. i t <br /> <br />LOT BLOCK lSmCTON T~WNSH P [ RANGE' ZGh~ <br />i WlDTH;J DE.H: ~EA: ~8 ..................... ~ i~RR~G LOT CORNER~ <br /> <br />TYPE: ON-SiTE SE~ACE <br /> <br />PERNIT OR APPLICATIOH NO: <br /> <br />CoN'rRAC?R~ NO, <br />GILLMORE. BAVID <br />23751SCHULTZ RD NE <br />AURORAv OR 970B2 <br />PHONE: <br /> <br /> ITEM <br />SITE EVALUATION~ FIRST <br /> <br />PAYEE: 6ILLMORE, DAVIBi:!i <br />RECEIVED BY: gL <br /> <br />SEE ATTACHED 90CUMENT <br /> <br />NOTE: TNIS I)OES NOT <br />ONSTRUCTION PERMITS <br /> <br />WATER SUPPLY <br />TEST HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING BRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br /> 'BEDROOMS: <br /> <br /> QUANTITY <br /> <br />PLAN REVIEW: BY <br /> <br />REMARKS: SE TH:READY <br /> <br /> AMOUNT <br /> $26§.00 <br /> <br /> $265.00 <br /> ${5.00 <br /> :. ,;,::: $265.00 <br /> :: $0.00 <br /> :,: EECEIP~ NO: &12~7 <br /> TYPE: OK CHECK ~: 6828 <br /> <br />,:'::,;, :::. <br /> ;,:;,' ;:'" X: <br /> <br /> ~HZS PARCEL. PLANNING <br /> ~NSTALL~TZON <br /> <br />;,:; CI~Y JUR.IOI)ICTION: BY .......... I)A'fE ................... <br /> <br />OFFICE COPY <br /> <br /> <br />