Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />920 HIGH¢;STREE,T NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 ~"~~ L <br />lam performing workona prOdertylownorocoupy. .. , --~.- <br />I am a reg(stered builder OR ) the authorized representative $IGNATURF. OK APPLICAN <br />of a registered builder, <br />Tf~e work will be performed by a registered builder, <br />Other_ <br />I have read and a§ree to the terms stated on the reverse side of DATE'. <br />this document. <br /> <br />09/25/90 <br /> <br />$*TUS ADDRESf~iES'TERER, BERNARD <br /> <br />TAX LOT CATEGORY. <br />CONSTRUCTION TYPE: 5~[~1'"8t5 OCCUPANCY. <br /> <br />RESiDEN If AL. <br /> <br />8521 HOLMQUi~'f RD <br /> <br /> CONTRACT C TY UGB OCCUPANT LOAD <br /> <br />· O~4- .-9:~'~ 5 ......................... <br /> f'4ARiON COUN'FY NO NO 0~ ~D~00M~ <br /> <br /> o-0 BOX 255 <br /> SUBLIMI'f¥, OR 97285 <br /> PHONE: '789-2139 <br />LOT; BLOCK: <br /> <br /> ~! l'E NUlVl'Cb[4: '1 9().9 <br />SECTION TOWNSHIP ~ANY~;LUA'¥' ~.0'~: ZONE <br /> <br />MAP: <br /> <br />3 <br /> <br />WIDTH: OEPTH: <br /> <br />AREA ~'~ J NITS; ~ IRREG. LOT ~j CORNER: <br /> <br />AR L-.' ,9,8 u../ <br /> <br />tYPIc.: MO~ILE HONE <br />CCfl T RAC'roR, NO. <br /> <br />PERMIT OR APPLiCA'¥'ION NO: 902?508 <br /> <br />p_o sox 255 <br /> <br />~ILE H~E 8AS~ FEE <br />MOBZLE HOME ST'ATE FEE <br /> <br />FLEET SURCHArgE <br /> <br /> THi~ <br /> <br /> BALANCE DUE <br /> <br />QUAN I' I 'I'Y AN!DUN 1 <br /> $89,25 <br /> <br />$119,34 <br />$'119.34 <br /> <br /> PAYEE*. Ri~'f'ERER, 8ERNARO RE(';~JPT 29104 <br /> 1,4ECE,tV~L) BY: PR TYPE.* CK CHECK ~: !057 <br /> <br />~ 'rHlB l.~i NOr A PERNiT. 'I'Hi$ APF'LICA'I'iQN MUST GO THROUGH A RE~C,~E~ PROCE~ WHERE 'f'H~ <br />FOLLONING MUST BE CONPLETED+ ~'T J,S 'rH~ RESf,~.,'~ISJ. B.f, LJ[TY Of= THE APPLJ[CANI TO A~RE THAT <br />ALL NEC~RY J, NFrOI'~"4ATION HAS BEEN PRO¥iDED. <br /> <br />COPY <br /> <br /> <br />