|
MARION COUNTY BUILDING INSPECTION
<br />,.~t~NATOR BLOC. NO. 225
<br />220 HIGH STREET NE
<br /> SALF-M, OREGON 97501
<br />
<br />PHONE: 588-5147 .8:00 - 4:30
<br />HOUR CODE-A-PHONE: 588-7904
<br />
<br /> OA'r,~;, 0,~,.1~9]93 T,[NE:.. J.~.~.~.O;,(~ .............. i--~')~ ~ ............................ ?CATEGORY;
<br /> WEITHAN, RICK 3. I ~ RESIDENTIAL
<br />
<br /> ~24 GOLF CLU8 ED SE ~6'N~'~'~', .........
<br /> AUH$VILLE OR '~7~Z5' , iMARION COUNT~ NO'
<br />
<br /> ~ SITE HUHEER:
<br /> PHONE: 7~9-58~7 ', VALUATION:
<br />
<br />...................... [BLOCK: i 8ECTION~ l ~WNSHIp~ ~ RANGE;
<br /> o/ o~ ~.8~~J~ Ac ~ ~o
<br />
<br /> TYPE: ON-MITE SEWAGE WATER
<br /> TEST HOLES R[AOY:
<br /> PERMIT OR APPLICATION NO= ?04506~ SITE EVALUATION NUMBER:
<br /> EXISTING TANK SIZE:
<br /> COETRAOTOR. ~0. EXISTING O~A[H FIELD LINES:
<br /> WEITHAN, RICK S, ...... I SEPTIC TANK PUHPEO:
<br /> ~AME .. · ..... ':',., ¢":'.', ,,[ ',PEE?.IOUS;. NO". '.:~EOROOHS:
<br /> PHONE: 769~58~7 I
<br /> .... ~,. · I
<br />
<br /> . : ~',. , · :;' · ..:... PR~V,~O.~.~',~.~C~I'PTS $0.00
<br /> ' ,': :;'..':"; ' ' ~' ".',"?~'~::'?: ~H.~S;':EE~P~;:', .' ¢75. O0
<br /> · :',' '; ,o oD
<br />
<br /> PAYEE: PLaNNinG DEPT'.~RR~,SFE. EE,,,.: .... "'.:":....~.~¥:%.'.:..:.v;i,i':,,,¢'.::7:: ...... ,: REOEZPT NO: 4724~
<br /> R?~]V~O BY: CL .': h;??s':X,/:~,:,,:-',~.':"{~.?,',';'~,:',.. , .... '',', .~....,,,,',': '.: TYPE: CK CHECK ~: 0
<br /> SEE ~TT~CHEB OOCU~EN~ F~'~'RE~Z~E~E~,'~.;ON~E.',~E¢~6~
<br /> · THI3 IS NOT A PERNIT"",'"~TH''' ,'APP~'~, Nc"' ' ';;G~' ~ A E
<br /> , -.-.-~. ~. .~ , ~ .-M S~... ,~H ~H ~V[ ~ PROCESS ~HEEE T E
<br /> FOLLOWING ~,UST BE COHELEZEO,., ...~T..~S,;'~.:REG~ONSIG'~':LI.~Y, OF TH~ APPLICANT TO ASSURE ~HAT
<br /> ALL NECESSARY INFORHA~ON;~NA8.'..BEEN.'.'R~I-~EO'.,' .... . ' .'
<br />
<br /> PLaN
<br /> REVIEW:
<br />
<br /> OFFICE ~PY
<br />
<br />
<br />
|