Laserfiche WebLink
[R~ec~i¢ed By: .~._~ <br />Zoning Val?dation: <br /> <br /> MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St. NE - Room 132 <br /> Salem, O~gon 97301 <br /> 8:00mu-4:3Opm Phone 588-5147 <br /> 24 hr. Inspection Line 373-4427 <br /> FAXS88-'/948 ~JUL 7- 9 1990 <br /> SITE EVALUATION AND/OR SEPTIC PERMIT APPLICATIOiI~Aill0N 00[~NT~ <br />1. LOCATIOr OF INSTALLATION _,~.~ ,4L/~ _ff~r-/- _lllJil nil, I#_~1 !ON <br /> <br />2. CONTRACTOR INFORMATION <br /> <br />3. FEES <br /> <br />Mailing Add'ss { Phone No. <br /> <br /> 600 gallons - 1000 gallons ............................................................................................................... 133.00 <br /> <br />Name of Applicant (Pl,ase tC~2~ ~ ~ R~dPt~ Test H°les Ready: <br />Signamre o f Applica~.~ ~ ~ Date: Ta~ ~d: <br /> <br />Pumping Certification Attached: (Y) (N) <br /> <br /> <br />