Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLOG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8;00 - 4:30 <br /> <br />t ~m a rsgistered b~llder O~ I ) the ~uthorlzed representative SIGNATURE OF APPLICANT: <br />Of ~ reglstere~ builder. <br />The w~rk wl[I be p;~rm;d ~y a r~;=~r=d builder, <br />Other <br /> <br />'OWNe~ATE:' '08/02'/92 "TIME;.'-15-.:OS'¥25 ................ T^X'L~T;'" <br /> <br /> 10369 CHAMPOEG RD <br /> AUROP, A, OR 97002 <br /> PHONE: 678-122~ SITE NUMBER= 92-01859 <br />LOT: ~LO~K: ................... r S~OTION=T .................................... .TOWNSHIP; =E>;~,,A kUA~I'ON'~'~,% ~ ~: ................... . ~^k,. <br /> <br />WIOTN: D~PTM~ ,'A~; ........ 6 .... '~' ' ~ ~ IRREg. LOT: <br /> <br /> ': ............. r-.~3.~..~ ~ = -NO .... <br /> ............................ AC, -~ ................. ~' ,;,;ktu,: .... <br /> <br />TYPE: ON,,~iI'E SEWAGE <br /> <br />PERJVlll' OR APPLICATION NO: 9040350 <br /> <br />CON'rRAC'rOR~ N~ <br />PiTTERLE, ELiSE K <br />10369 C~A~POEG RD <br />AURORA, OR 97002 <br />PHONE: 678-1228 <br /> <br />I~.TER,SUPPLY~ ~ <br />TEST HOL~ READY: <br />SITE EVALUATION NUIV'k3ER: 903ggg? <br />EXISTING TANK SIZE: <br />EXISTING DI:~IN Fi~ED LINES: <br />SEPTIC T~K ~MPEO: <br />PREVI~S NO. BED~: <br /> <br /> iTFJ,1 <br />STD ON$ITE SYS < 1000 GAL <br /> <br /> [,~JAN'FITY At,'K~NT <br /> 1 $210.00 <br />TOTAL A.,..~ED FEES $210.00 <br />PREViE~J$ RECEIPTS $0,00 <br />THIS RECEIPT $210.00 <br /> <br />BALANCE [TJE $0,00 <br /> <br /> PAYEE: PITTERLE~ ELiSE K ~-~ ~, ' "' <br /> RECEIPT <br /> NO.~ <br /> RECEIVED 63Y= CL ........................ ~.__' ....... TYPE= OK C~ECK ~; 1012 <br /> SEE ATT~ED ~T FOR R~IR~'~ OF ~iTE <br /> <br /> ~ THIS IS ~T A P~IT, ~IS <br />~L~ING ~ST BE ~+ IT [S THE' ~181LITY ~ THE APPLI~T TO ~RE THAT <br />ALL N~ IN~TI~ ~ <br /> <br />PLAN REVi~; BY OAT£ - Z,~~''~ <br /> ......... ~='~ ........ CiTY JURiSDiCTION: 8Y ................ DAT£ ..................... <br />~R~; rs'rANOAR (?) <br /> <br /> <br />