Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLOC, NO. 225 <br />2:80 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> em i3etformlng work on a orooe,'ly I owh or occupy, <br /> I am a t~stered builder O~ ( ) ~he ~uthorized representer*ye ~IGNATURE OF APPLI~NT: ....................................... <br /> Of · te~ stefe~ bu der, <br /> The work wilt be performed by a f~istefed <br /> Other ........ <br /> <br /> ~ATE: 1B/2i/~3 TIME: _~,~.[.~;~. ........................................ <br />F~'~: ......................................... ~L~6~ ............. ['~'~5~= .... <br /> CHECK~L~ JOHN 7158~-~ <br /> <br /> BROOKBIDE <br /> D~ <br /> NE 'T~o~N~a~:~:- ......l'~F ....... ~6~ f'[¥i~ .......... <br /> O~ ~7~2 flANION COUNTY J NO <br /> AURORA <br /> <br /> ~ [RIM ESTATE8 <br /> SAME J SITE NUH~R: <br /> PHONE: ~78~5414 [ VAL~ATIQH: <br /> <br /> [ inc ........... ~ .............................. ~ ........ <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATIOH HO: <br /> <br />CONTRACTOR, NO. <br />CHECKAL, JOHN <br />SANE <br /> <br />48669 <br /> <br />PHONE: 67B-5414 <br /> <br /> WATER SUPPLY: PW <br /> TEST HOLES READY: NO <br />SITE EVALUATION NUMBER: <br />EXISTING TANK 8IZE: 1888 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC. TANK PUMPED: 11-16-87 <br />:P,REVZOU~.: NO, .-BEDROOMS: <br /> <br /> ITEM '" QUANTITY AMOUNT <br /> REPAIR MINOR Iii" I ''' .......... ' <br /> __ , ..... . ......... 1 $85.~8 <br /> ,,,:i,.',:: <br /> ', ':,'":':~ ,,'i,'i .':." :"1..-.-: - 5:[;:¥Hi~;;RE~'~"SRT~.h !"~}i , $0.00 <br /> <br /> PAYEE: ' ' '" RECEIPT NO: <br /> RECEIVED BY: PB .............. .: ....... TYPE: CHECK f: <br /> SEE ATTACHED BOCUMENT.£OR::~E'QUI~EMENTS{QF.'..ON~S.IT£ 'BEn,GE SYSTEM. <br />'* THIS ZSA VALID PERMIT ~" THiSLP~-RN~Ti'.'EXP~.~"..BA¥S_ FIT~ ITS ISSUE ~ATE, IF <br />CONSTRUCTION FAILS TO MEET 'ALL..REQWIRENEN~S.OF..ST~TE LAWS, AND MARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THIS/PERMIT SHALE.',BEOOM~"'NUL^L.'AflD '~QID. · <br /> ?" ' :.::..'." · {" :i "...':'"'i::.'.Y.i..'?i..":.. "..' ,'. <br /> <br />REMARKS: SEPTIO REPAIR . . <br /> <br />DONALD E. WOODLEY, MARION. COUNTY BUILDING ·OFFICIAL / BY ................................. <br /> <br /> OFFICE COPY <br /> <br /> <br />