Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG· NO- 2P5 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 5S8~5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> im perfofffl ng wo K Ofl a proper '~ { own o¢ O~upy, <br /> I ~m a regis, toted builder OR the authorized represen~atlve StGNATURt: OF APPLIOANT: ..................... <br /> <br /> Other ........... ' <br /> <br /> DATE: 07/~0/g2 TIME: <br />:°w~'~m: ZACHER, ~;ALE ....................... ~ T ~.OT= ' ......................... :CAT~O.'~" ' <br />..................................... ~-00109155-92 <br /> · RESIDENTIAL <br /> <br />' -~IYO'~-A66'~{~ ~ ................................. "c~,~'r~flo~' TYF'~; ' ocdU~'A,~C¥: <br /> <br /> J_2g'I7 DONALD RO NE '- ........................................... <br /> AURORA 'OR 97002 , <br /> <br />· U,~ OF ~Olt~l~,7 <br /> <br />SAME <br /> <br />PHONE: 678-1456 <br /> <br />' ~o oF s~60~s: ' <br /> <br />SITE NUHBER: 92~02717 <br />VALUATION: <br /> <br /> 4S 1W EFU , 4 <br />TYPE: ON-SITE SEWAGE WATER SUPPLY= PW <br /> <br />PERH~T OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />ZACHER, GALE <br />SAME <br /> <br />PHONE: 678-t~56 <br /> <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTIN8 TANK SIZE: lO00 <br />EXISTING ORA~N FIELO LINES: <br />SEPTIC TANK PUMPED: 7/2~/72 <br />PREVIOUS NO. BEDROOMS. 3 <br /> <br /> ITEM QUANTITY AMOUNT <br /> AUTHORIZATION NOTICE - FLD. VISIT 1 $150.00 <br /> <br /> TOTAL ASSESSED FEES $150.00 <br /> PREVIOUS RECEIPTS $130,00 <br /> THIS RECE[PT $0,00 <br /> <br /> ', ..BALANCE DUE ' $0.00 <br /> PAYEE:, " " I <br /> RECEIVED By: pB~__~mmam~~ ........ m mm ~ 'mm RECEIPT NO: <br /> .... TYPE: CHECK #: <br /> SEE~TTA~NEO OOCUM~NT FOR R~QUIR~MENTS OF ON"SITE SEWAGE <br /> <br />* TN~S ~$ A V~D ~R~T * TH~ P~H~T EXP~B $&O DAYS F~ ~T$ I~S~E DATE. <br />CONSTRUCTION FA~LS TO MEET ALL REQUIREMENT8 OF STATE LA~S 'AND MARION COUNTY BU~LO~NG AND <br />ZONING ORDINANCES, THIS PERMIT SHALL BECOHE NULL ANO <br /> <br />REMARKS: AUTHORIZATION FIELD VISIT <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />