MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG. NO, 225
<br />220 HIGH STRI;;ET NE
<br /> SALEM, OREGON 97301
<br />
<br /> PHONE: 588-5147 8:00 - 4:38
<br />24 HOUR CODE;A-PHONE: 588-7904
<br />
<br />O{her .~ : ......
<br />
<br />~IGNATURE OF APPLICANT: ........
<br />
<br /> DATE:
<br />
<br />401 NE 29TH CT
<br />GRESHAM BUYER:
<br />PHONE= 667-6939
<br />
<br />ELDEN,
<br />
<br />TYPE: ON-SITE
<br />
<br />7025~-07B
<br />
<br />RESIDENTIAL
<br />'6~bu~ ...............
<br />
<br />PEREIT OR APPLICATION
<br />
<br />WATER SUPPLY= OW
<br />TEST HOLES READY:
<br />SZTE EVALUATION NUHBER~ 3S882
<br />
<br /> EX;STIfl~ TANK SIZE:
<br />~ONTRACTOR. NO. 84745 EXISTIN~ DRAIN ~ELD LINE~:
<br />KevJm M Hills SEPTIC TANK PUMPED:
<br />PO D~x 465 ,' :"~'~'~'~*
<br />Detroit. 97342~e~0~ ."
<br />PHONE~ 954-3797
<br />
<br /> SE,F-PAGE TRENCH ",-..'-. : . . '.,' ':'.:.:~,,.,:v:,h". ,.,,.'",'-- : 1 $25'5,05
<br /> - .. ,:,,,,.:,,. .... ,,,;; ~ ~..':::.,,', , ...... ,'.~,'~ ,,..-'-.: ,.'
<br />
<br /> · . :,,, . · ., ...... , ..; ~1~... ~SSED. FEES
<br /> "¢,"~¢ ',' :?::'"'"","",-¢"~ "':: ::,P ~.E~,8,~ ~CEIPT~ ~. ~
<br />
<br /> KC~ ~z; ~ ~ ~%~;~4"~'%~i'~¢"'~-~',,.,~,-=--~,~,'~;,~,F~7 ~: TYP~- T~ ~H~P~ ~.
<br />
<br /> ..................... ~,. ~ - ¢~~ ..................................
<br /> · TH~S ~S NOT ~ PERM~.~;~~G~ A REVIEW PROCESS WHERE THE
<br />FOLL~IN~ HUST 9E COHP~~E~LI;~T~,~GF~THE RF'PL[C~NT TO ~S~U~E
<br />~LL NECESSARY INFOR~T~K~ ~ ;~EE~;~~? ~ ;~." =¥- 4~?','";,:': ~
<br />
<br /> ............. ...........
<br /> REHARKS~ CT :'", ,"~ ,~, ,.,.' .. '., ,... :
<br />
<br /> ~ 'OFFICE ~
<br />
<br />
<br />
|