Laserfiche WebLink
~uul'~ I ¥ I~UILL)ING INSPECTION <br /> SENATOR SLOG, NO, 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-51.4-7 ' 8:00 ~'4:30 <br /> 24 HOUR CODE-A-PHONE: 588:7904 <br /> <br />DATE: 08/0,6/92 IHE.. L6:1.$; ~..7 ............"iX~"~¥,, ..................... ~ -~T~6~ .... <br />BARLOW, THOHA~ ~ RES~OENTIAL <br /> <br /> ~734 HILL CREE~ RD $~ ~ co~xc~c~y: .: u~ <br /> AUHSVILLE OR 97325 ~HARION COUNTY; NO ~ <br /> <br /> SAH~ ............................................................... <br /> PHON~: 7a9-178~ V~LU~T~ON: <br /> <br /> ' : ', ~ NO , NO ; <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERHIT OR APPLICATION <br /> <br />CONTRACTOR, NO. <br />BARLOW, THOMAS <br />SAHE <br /> <br />9041790 <br /> <br />WATER SUPPLY: PW <br />TEST HOLE~ READY: <br />SITE EVALUATION NUMBER~ <br />EXISTING TANK SIZE: 1200 <br />EXISTIN8 DRAIN FIELD LINES: <br />SEPTIC TANK PUMPEO:.~¢-,~-~'~-- <br />PREVIOUS HO. BEOROOH'~: 2 <br /> <br /> ITEM QUAN?~T¥ AHOUNT <br /> AUTHORIZATION NOTICE - FLO. vlsrT <br /> TOTAL ASSESSED FEES $I~0,00 <br /> PREVIOUS RECEIPTS $130.00 <br /> _. THIS. RECEIPT $0,00 <br /> 'BALANCE DUE <br /> PAYEE: RECEIPT NO: <br /> '-'= .......... <br /> SEE ATTACHEO DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />* THIS I~ NOT A PER~IT. THiS aPPLICAtION MUST 80 TI.~OUBH A REVIEW PROCESS WHERE THE <br />FOLLOWING NUST 8E COMPLETED. IT I~ THE RESPONSIaILITY OF THE APPLICANT TO AS~URE THAT <br />ALL NECESSARY INFORNATIOH NAS BEEN PROVIOEO. <br /> <br />REMARKS: AUTH- FIELD CHECK <br /> <br />OFFICE <br /> <br /> <br />