Laserfiche WebLink
MARION COUNTY BUILDING iNSPECTION <br />6ENATOR.~LDG.d~O.. 295 <br />220 HIGH STreET NE <br /> SALEM~ OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4~80 <br />24 HOUR CODE-A-PHONE~ 588-7904 <br /> <br />{ sm a reg,stcfc~d builder OF~ { ) thc ~uthOfi~ed repreaen ative <br />Other <br /> <br />SI~N^TURE OF APPLIOAN'I' <br /> <br /> DATE:; <br /> <br />OWN~IE: 11/29/~1 TIM£: 11.'D1:53 <br /> <br />1'10 N <br /> <br />NO <br /> <br />OCCUPANCY <br /> <br />BLOCK: <br /> <br />P~R~Ii'I OR APPLICAIION NO: <br /> <br />CON'FP~.CFOR, NO. <br />COOPER, EL..51E <br /> <br />TE~T HOLES REAOY~ <br />~ITE gVALUATIG'~I NU~ER~ <br />IEXI~TiNG T~K ~iZE= 750 <br />~iS'FIN~ D~[N FIELD L~N~: <br />~EPTIC T~K ~PEO~ 11-16~91 <br /> <br /> IT~ <br />REPAIR ~ ~INOR <br />AU'IHORIZATION NOTICE - NO VISIT <br /> <br />PAYEE; COOPER, ELSIE <br />R~CEIVEO BY: CL <br /> <br />TOTAL AF~SEE~ED FEE~ <br />PREVIOD~ RECEIPTS <br />THiS RECEIPT <br /> <br />BALANCE DUE <br /> <br />~J~l I TY <br /> 1 <br /> t <br /> <br />iNVOiCE NO~+ <br /> <br /> $110.00 <br /> $~5.oo <br /> <br /> $0.00 <br />39058 <br /> <br /> s~.E A~'I'ACHILD or..x:A~IENT FOR ~iR~T~ OF ~ITE ~H~E ~Y~T~. <br />............. ............... ' : ............................. <br /> ~ THIS l~ A VALID ~IT · THiS ~IT ~iR~ F~ IT~ I~E ~TE. IF <br />~ST~TI~ FAi~ TO M~T ALL ~i~ ~ ~TAT~ ~ ~O ~RI~ ~ BUiLD/~ ~D <br />Z~[NG ~iN~. ~I~ PE~IT ~ALL BE~ ~ ~O ~D. <br /> <br />RgMARKS: LOAN REPOR[ / MINOR REPAIR <br /> <br />DC~ALO E. V,L'OOL~, f'/iARiON COUNTY BUILDING OFFiCiAL / 8Y <br /> <br />COPY <br /> <br /> <br />