Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO, 225 <br /> 220 HIGH STREET I~E <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8;00 A.M. <br /> <br />I am performing work on a propperty I own or occupy. <br /> <br />of a registered builder. <br /> <br /> EMERY, DALE <br />SITUS ADDRESS: <br /> <br />TIME: <br /> <br /> 9694 GOLF CLUB ROAD <br /> AUMSV I L L E <br />USE OF BUli, DING: <br /> <br />9? 325 ' <br /> ~--- ---- ----- ----,-. ~.- ~R.}CiN,:GO~NTy, ,, i .NO <br /> <br />2: 34 = 34p i TAX LOT; ! ~A'rEGORY: <br /> <br /> '~ CONSTRUCTION TYPE: i OCCUPANCY; <br /> ~ CONTRAO~ CITY: <br /> <br />MAILING ADDRESS: RESIDENTIAL ACCESSORY 'STI~LICTO~tES' ~Ue~)v ~o~; .... <br /> <br />PHONE: <br /> <br /> SITE NUMBER: 1984 <br /> .............. , YALDA%I~: $5,500.0¢ <br /> BLO~i TSECTION: ITM I RANGE: i ZONEI : MAP: <br /> <br /> ~ 4 9S 1N + EFU 60 <br />DEPTH: i AREA; ! UNITS; i IRREG. LOT: i CORNER; <br /> 5 00000 AC YES NO <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTPC,,CTOR, NO. 912 <br />EMERY & SONS CONST. <br />PO BOX 398 <br />STAYTON. ORE 9?363 <br />PHONE: 769~,7961 <br /> <br /> 9006308 <br />ARCHITECT/ENGINEER, NO. <br /> <br /> PHONE.' <br /> <br /> I T E~4 QUANT i TY AfcOUNT <br />BUlL. DING FEE $56.50 <br />PLAN REVIEN $35- ?3 <br />¢;LEET SURCHARGE: -ZONE. ~ $5.12 <br />8LJZLOING STATE ~RCHARGE $2,83 <br />ZONING ~HARGE $2- 83 <br /> <br /> TOTAL ASSE~ED <br /> PR~S RECEI ~TS $0.05 <br /> ~IS ,:RECEIPT',T $ '104.0 '1 <br /> <br />  DUE $0,00 <br />PAYEE: ~ERY & ~NS ~ST. 6905 <br />RECEIVED 8Yt O~ ~PE: CK CHECK ~: ]29]0 <br /> <br />~ THIS IS NOT A PERMIT. THIS APPLICATI~ ~UST ~ TNROU~ A R~IEN PROCESS MHERE THE <br />~OLLOWING MUST BE COMPLETED. IT IS THE RES~NSI, BIUITY OF THE APPLICANT TO AS~JRE TF,A <br />ALL NECESSARY INFO~'FI~ H~ BE~ PRAISED;' <br /> <br /> DATE "- CITY JURISDICTION: 8Y ........ DATE <br />~EPTIC' Bv ~ <br /> <br />R~AR~; A~TO STGE <br />H~tGHT: TOTAL SO FT: 0 STORIES: ' PLAN.ACTION: <br /> <br />MC ~* S~ ~V ~/~7 OFFICE COPY <br /> <br /> <br />