Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 8::00 AM <br /> <br />The w(~rk will be performed by a registered builder <br />Other__. <br /> <br />D,~TE: 11/28/89 TZNE: 10:42.'57 <br /> BOP, AN, TOM <br /> <br /> 855 8TH <br />AUMSVI LLE OR 973;'5 <br /> <br />USE OF BUILDING <br /> <br /> SINGLE FAMILY DNELLINGS <br />MAILING ADDRESS <br /> <br />PO BOX 185 <br />SUBLIMITY OR 97385 <br />PHONE= 769-7364 <br /> <br />LOT BLOCK SECTION <br /> 19 5 25 <br />WIDTH 75 DEPTH 1 O0 AREA 7500 <br /> <br />SIGNATUF~E OF APPLICANT <br /> DATE <br /> <br /> TAX LOT CATEGORY <br /> 90040-920 RESIDENTTAL <br /> <br /> CONST~tJC'FION TYPE OCCUP;,NCY <br /> 5-N R-3 <br /> CONTRACT CITY UGB OCCUPANT LOAD <br />AUMSVILLE NO <br /> <br />DELMAR I I I <br /> <br /> SITE NUMBER~ <br /> VALUAT I ON: <br /> <br />8S 2W <br />SF NO <br /> <br /> 8926 <br /> $32,800.00 <br /> <br />ZONE MAP <br /> R~ 51 <br />co~6. <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 55493 <br />TOM DORAN <br />PO BOX 185 <br />SUBLIMITY 97385 <br />PHONE: 769-7364 <br /> <br /> ITEN <br />BUILDING FEE <br />PLAN RE'VIED, Am <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br />PAYEE: TOM DORAN /J)"~ <br />RECEIVED BY: F~ <br /> <br />9020462 <br /> <br />ARCHITECT/ENGINEER, NO. MULTI <br />MULTI/TECH <br />1155 13TH ST SE <br />SALEM OR 97302 <br />PHONE: 363-9227 <br /> <br />OUANTITY <br /> <br />TOTAL ASSF. S~ED FEES <br />PREVIfXJS RECEIPTS <br />THIS RECEIPT <br /> <br />TYPE: IN CHECK <br /> <br />~ALANCE DUE <br /> <br />AMOUNT <br /> $206.50 <br /> $124.23 <br /> $3.84 <br /> $10.33 <br /> <br />$354.90 <br /> $0~00 <br />$354.90 <br /> <br />$0.00 <br /> <br />21715 <br /> 0 <br /> <br />* ?HIS IS NOT A PERMIT. THIS APPLICATION MUST (30 I~{Rf)UGH A REVIE~ PROCESS ~HERE THE <br />FOLLOWING Iv'lAST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORNIATION HAS BEEN PROVIDED. <br /> <br /> CITY JURISDICTION: BY <br />SEPTIC: BY DATE <br /> <br />ZONING: BY ........ DATE SETBACKS: FR_20 LS_5 RS_5 ~R_5 SP ...... <br />REMARKSt NEW RES <br />HEIC~T: 14 TOTAL SQ FT: 1328 STORIES: 1 PLAN.ACTION: <br /> <br />~l~,~ ,, r¢~ , .... rl.~ ¢~, OFFICE COPY <br /> <br /> <br />