|
MARION COUNTY BUILDING INSPECTION
<br />SENATOR 8LDG, NO. 225
<br />220 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 />Other
<br />
<br />{ ciWN'~: ............................................................. ]-~i~ LOT: ..................
<br />~ ~ H.,,, ~l/~J/9~ T~H~T~ 9~ 3~
<br /> j YPE,
<br />',~'~ ' ~E.~' .......................... ~;o~
<br />
<br />' ~
<br />,u~ OF BU~},~V~ ..L~ · g~ 97325 ~iu~ uuum~
<br />
<br /> J
<br />
<br />'~'~+~ .................... J'~'; .................... k~A: -- ' I UNI~ '~ ~ IR~e, LOT;
<br />, J_.__ ..........~.2~ ............ ~ ..... ~.!~ .........
<br />
<br />CON'I'R~CTOR.
<br />~LSDN~ 60RDON
<br />
<br />PHONE:
<br />
<br />R~iPA.[R '" HA,,IOR
<br />
<br />NATER ~UPPLY: FIN ,~.
<br />TEST HOLE~ RE~DY: YES
<br />SITE EVALUATION NUMBER:'
<br />EXISTZN~ T~NK SIZE: 1900
<br /> LINES:
<br /> T~NK puHpEb~ ~/94
<br />
<br />J~g AI',JT ITY
<br />
<br /> t, ls0.,
<br />
<br /> O~t.~' ',,'~' .'~' ~ r~. ~ 9
<br />
<br /> - ~ ~ : ........ .,~,,,.,:........~%:<...?~,~;~-~:? ........... ....
<br /> PAYEE~ ~I%I_SON~ ~1~:~[,~-:,:, ,'~,:, !~,~.-~,,,~'. ~:s;,~o,~:,.::"f,~'"'...':.: ' RECEZPl NO~ 63:~64
<br />
<br />FOLI.OH NE MUST ~E CDMPL[{~'E'.~J~"?}~,~;:,,.,~;~r;~¢TR~B~B'~T~: OF file APPt.~CANT T~ A~SUR7 '~t,4~",
<br />ALL NEC:CS¢~ARY ~NFORHATIO~I FI'AS~;;BEEN~'~I~B~B~;,~ ;~':'/...',, ,,' % ......
<br />
<br />
<br />
|