Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />;~20 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 />I sm performing work on ~ property I owt~ or occuoy, <br /> <br />$1GNATUR~ OF APPL CANT <br /> <br /> DATE~ .... <br /> <br /> SITE N[IHBER.- 93-8277~, <br /> PHONE: 364--1455 ~ VALUATION.' <br /> <br />TYPE: 0H-SITE 8E~ACE ~TE~ sUPPLY: P~ <br /> <br />PERHIT OR APPL~CRT~0M NO= <br /> <br />¢ONT~AC'rOR~ NO, 4~182 <br />Da~i~i ~ore~t <br />524~ S~nnyvie~ Rd NE <br /> <br />4~98 <br /> <br />TEST HOLE~ <br />SITE EVALUATION <br /> <br />E×ISTZN~ ~RAIN FIEL~ LINES; <br />SEPTIC TANK PUMPED: <br />PREVIOUS MO. ~EDROOH$: <br /> <br /> ITEN " . ':' ... GUANTITY AflOUNT <br /> AUTHOR~ZATION NOTICE ~ FLS.., VISIT, .,, ' ]. <br /> <br /> · '.. · . ,,,,, I .,,TOTAL, ASSESSE~ FEES <br /> '{"":PREV~OU~.,RECE~PTS <br /> :.'",TM, iS. RECE,IP~" ' ,' <br /> '" ',,',:.' '':',:. . <br /> PAYEE. ,,, ,-.. , .... , ....... RECEZPT <br /> RE6EZVE~ ~Y~ P~ · r. ",",' '"':,~ !:',.::<: ...... ' ,' TYPE~ OMEOK ~: 0 <br /> ~EE ~TTRCHE~ 906U~ENT..,FOR REqUiREMENTS.DF ON-S~TE 'SE~A6E,~YSTEH, <br /> <br /> ~ THIS I~ A VALID ?ERHIT ~ ,T~.I~' ~EI~t~ITi~E~P~RES,~ ~AY~ FROI~ ITS <br />C~$TAUOTION FAILS TB ~E~T: AEL' AEG~IRE~NTB'.OF':'ST~E,'~AWS AND HAAIOH ~l)HT¥ ~UILDING AND <br />ZONING OR9INANgE$~ THI~ PERM~T:"$NA~E DECOME~N~LL AND'"VOID.. ' <br /> <br />REHAR ~,~. <br /> <br />~ONA[_I) E. <br /> <br />HPSHF'~ H~ <br /> WOODLEY~ MARION COUNTY BUILDIN~ OFFICIAL / BY <br /> <br />OFF[CE COPY <br /> <br /> <br />