Laserfiche WebLink
MARION COUNTY IBUILDING INSPECTION <br /> ~ SENATOR BLDG. NO. 225 <br /> ~0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588~t47 ~;00 - 4:30 <br />24 HOUR CODE-A-PHONE: 5~-7904 <br /> <br /> DATE: 08/05,/?2 TIME: 9:27:10 .................................. , CAZ~mO"V- <br />,~WNE~: 'RESIDENTIAL <br /> $CHHIO, THOMAS : . <br /> <br /> 74~0 SHERHAN RD SE : ~N~Cf Oi~=' ...... "'"g'~: ........... ;=~CUPkNY LOAD: <br /> AUHSVILLE OR 97~25 [MARION COUNTY~ NO <br /> ..... ' <br /> ~0 OF <br /> <br /> .................................. ~......_. ~,,., .. ....................... , ............. , ................... ~, ......... . ,... ,. . <br /> <br /> 74~6 8HERHAN RD <br /> ~UHSV~LLE 97325 SITE NUHBER: 92-O2783 <br /> PHONE: 74~-1001 VALUATION: <br /> <br /> ...... ~ ...................... ~......, ,...... .................. <br /> <br /> ~.64 ~ ~C YES <br /> .................................... ... , .:.. .................... ~ ......... ,~ , . . ,..~ ......................... <br /> <br />TYPE= OH-SITE <br /> <br />PERMIT OR APPLICAT)OH NO: 9041590 <br /> <br />CONTRACTOR, NO, <br />SCHMID, THOHAS <br />7496 SHERMAN <br />AUMSVILLE 97~25 <br />PNONE: <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUHBER: <br />EXISTING TANK $IZg; [000 <br />EXISTING DRAIN FIELD LINES~ <br />SEPTIC TANK PUMPED: GIVEN FORH <br />PREVIOUS NO. BEOROOHS: <br /> <br /> ITEM QUANTITY AHOUNT <br /> AUTHORIZATION NOTICE - FLD_ VISIT 1 $130.00 <br /> <br /> TOTAL ASSESSED FEES $130.00 <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT $0.00 <br /> <br /> B~LANCE DUE $0~00 <br /> <br /> P~YEE: . . RECEIPT NO: <br /> RECEIVEO BY: CL TYPE: CHECK ~: 0 <br /> <br /> SEE ATTACHED DDOUHENT .FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br />* THIS IS NOT A PERHIT.' THIS APPLICATION ~UST ~0 THROUGH A REVIE~ PROCESS ~HERE THE <br />FOLLOWING MUST BE CONPLETEO.. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALi_ NECEsSArY INFORMATION NAS BEEN PROVIDED. <br /> <br />REHARK$: AUTN - FIELD CHECK <br /> <br />OFFICE COPY <br /> <br /> <br />