Laserfiche WebLink
MARION GOUNTY BUILDING INSPECTION <br />SENATORBLDG, NO, 925 ~ i L E <br />220 HIGH STREET NE <br /> SALEM, OREGON 9790~ <br /> <br /> PHONE:5~-5147 8:~- 4:30 ~ _ . <br /> <br />D~aTE: 1,2/28/92 <br /> <br />8URLEfGH, JAHES & LECTA <br /> <br />S65J. 094~ , RESIDENTIAL <br /> <br />PO D0X 18102 <br />SALEH 97505 <br />PHONE: ~9~,-879() <br /> <br />TYPE: ON-SITE <br /> <br />PERMIT OR ~PPLIC~T~ON HO: <br /> <br />CONTRACTOR, NO. <br />BURLEIBH, ~AM~S & <br />PO BOX 18102 <br />SALEM <br />PHONE: 39~'-8790 <br /> <br />~044620 <br /> <br />WATER SUPPLY: PW <br />TEST HOLE8 READY: <br />SITE EVALUATION NUMBERs 79--1909 <br />EXISTING TANK <br />EXISTING DRAIN FIELD LINES~ <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO, BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br /> ~TANDARD ON'"SITE SYSTE~ 1 <br /> <br /> TOTAL A~SESSEO FEES <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS REOEIP'r <br /> <br />  E OUE $0. <br /> PAYEEs 8IJRLE~GM, JAMES & LECTA RECEIPT NO: <br /> RECEIVED BY: OM2 TYPE: CE CHECK ~: 5067 <br /> <br /> SEE ATTACHEO OOCUMENT FO~ REQUIREMENTS OF ON-SITE SEWASE SYSTEM. <br />· THIS IS NOT A PERMIT. THIS AP~IGA¥IO~ MUST ~0 ~MROUGH A REVIEW PROOESS WHERE ~HE <br />FOLLOWING MUST 8E ¢OHPLETEO. If IB THE RESPONSIBILITY, OF THE APPLICANT l'O ASSD~Ei <br />Al,,.;. NECESSaRy INFORMATION HAS 8E~N PROVIDED. <br /> <br />OFFIOECOPY <br /> <br /> <br />