Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />320 HIGH STREET NE <br /> SALEM, OREGON 97501 <br /> <br /> PHONE: 588-514.7 8:00 ~ 4:$0 <br />24 HOUR CODE-A-PHONE: 588.7904 <br /> <br />o a res s ere(~ bulJder, <br />The work wltl I~e peHormed by a reglstered builder, <br />Other , ' <br />~ n~v¢ read and agree to the terms ~teled On the r~v~rse side of <br />this deeument. <br /> <br />~I¢SNAYUR~ OF APPLICANT: ................... <br /> DATE: ................. <br /> <br />1755 N i'~APL,E ~ <br />CAI?Y, OF: 97~,.';,3 : SiTE NUMBER: 94-01357 <br />RHONE: 2,56-8355 ~ VALUATION: <br /> <br />TYPE: ON-SiTE SEWAGE <br /> <br />F'E~NIT OF~ APPLICATIOH <br /> <br />C:O;'.',TRACTOR~ NO. 44~77 <br />)"{~l')l'y ~;J.t~:[ti~ Excavat'ing Ltd. <br />40¢ i.0~1" R¢ '.' <br /> <br />PHgN~F.~ 873'"4347 <br /> <br />54~52 <br /> <br />WATER SUPPLY: CW <br />TEST HOLES REA~Y~ <br />S~TE EVALUATION NUHBER: <br />EX;(~TiN8 TANK SIZE: <br />~X~ST~NG DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PRE¥~OUS NO. BEDROOMS: <br /> <br /> ....... '...: '.PRE.VSO~BOT L AgSESS~Do~,., _~.~ ~,-,-~.FEES <br /> · ,, . <br /> · . ':" ""... ' .... ..'.;';:" .~ ' ZHI.~,,.RECEIPT ' ~g., <br /> <br /> . .x, .L..:/ ~ ... D~L~NCE~,~ <br /> <br /> ~ AY ..I..~ , INVOICE <br /> RI:?{;E1VED BY: P~ , 7 .~ ' · ..... .". : TYPE~ CHECK ~; <br /> <br /> ~'F~:' ATTAOH~'.D DOCUMENT FOR'.'R~QSI'RE~ENT8 OF'QN~S.Z:rE SEWA6E SYSTEM. <br /> $,THI~ IS A VALI~ PER~IT:' *'] IBiS'PERMiT EXPIRES 360 DAY8 FROM !TS ISSUE DATE. IF <br />CON?RU[,T',[t',iN I-AILS "rd MEET ALL REQOIREMENTS DF ·STATE LAWS AND MARION COJN'I'~ BU!L. Dt~q~ <br />ZON;[N~ ORD];NANCES~, THI~ ,,PER~IT' , .:] '.~HAL"L'. . .BECOHE NU.L' AND VOID. <br /> <br />i;(]N?~LD E.. b.!OODt. EY~ MA}xlg~, £:OdN'rY BL¢'L~ING OPF]r:]JAL / B',' <br /> <br />OFFICEC0?Y <br /> <br /> <br />