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 430 PM - 8::00 AM <br /> <br />SIGNATURE OF APPLICANT <br /> SATE <br /> <br />ogA~g: 12104189 <br /> <br />TIME: 14:31:52 <br /> <br /> TAX <br /> <br /> 90040-360 <br /> CONSTRUCTION TYPE <br /> <br /> CONTRACT CITY UGB <br /> <br />AUt, ISV I LLE NO <br /> <br /> 895 8TH <br />AUMSVILLE <br /> <br />OR 9?325 <br /> <br />PO BOX 185 <br />SUBLIMITY OR 97385 <br />PHONE: 769-7364 <br /> <br />t CT BLOCK <br /> <br />DEl.NAR I I I <br /> <br />CATEGORY <br /> <br /> RES I DENT I At, <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br />23 <br /> <br /> OEPTH <br /> <br />?~ <br /> <br />5 <br /> <br /> 100 <br /> <br /> SITE NUNSER: 8927 <br /> VALUATION; <br /> <br />28 8S LOgaN 51 <br />7400+ SF NO NO <br /> <br />TYPE: PLUI~ING <br /> <br />PEF~IlT OR APPLICATION NO: <br /> <br />CONTRACTOR. NO. 44551 <br />D~AIN BETHEL & SONS EXC <br />9.0. BOX 504 <br />TURNER OR 9?392 <br />PHONE: ?43-2343 <br /> <br /> ITEM <br />WATER LINES, 1ST 100 FEET <br />SEWER LINES, 1ST 100 FEET <br />FLEET SURCHARGE -ZONE 3 <br />PLUNtBING STATE SURCHARGE <br /> <br />PAYEE: <br />RECEIVED BY: Pi3 <br /> <br />THIS IS A VALID PEI;~IIT ~ <br /> <br />20469 <br /> <br />TOTAL ASSE~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE ODE <br /> <br /> QUANTITY AMOUNT <br /> ~ $20.00 <br /> 1 $30_00 <br /> $3.84 <br /> $2.8o <br /> <br /> $56.34 <br /> $56.34 <br /> $0.o~ <br /> <br /> $o.oo <br /> <br /> INVOICE NOt <br />TYPE: CHECK ~: 0 <br /> <br /> IF <br /> <br />THIS PEI;~IIT EXPIRES 180 DAYS FRO~I ITS I,i-~iIE DATE. <br /> <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CI~NSTRUCTION FAILS TO MEET ALL <br />REQUIREI~tENTS OF STATE LAW~ANDIe~RION COUNTY BUILDINGAND ZONING ORDINANCES, THIS PER,lIT <br />SHALL ~ECOt4E NULL AND VOID. <br /> <br />REMARKS: WATER/SEWER LINES <br /> <br />DONALD E. WOODLEY, M~RION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />