Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLOG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performir~g work on 8 property ~ own or occupy. <br />lam a registered builder OR( ) the authorized representative <br />of a rogistered builder, <br />The work wilt be performed by a registered buiJder, <br />O[her ............... <br />I I~ave road and agree to the terms stated on the reverse side of <br /> <br />DATE; <br /> <br />OWNER: <br />OA'f'E; 05/22/90 'fTME: 12:37:30 <br />SITUS ADDRESS: <br /> SU'f'TER, RALPH <br /> <br />855 CLEYELAND. S'f <br /> <br /> PO BOX 12533 <br /> SALEM OR 97309 <br />LOT:PHONEs <br /> <br />W~DTH. DEPTH: <br />2 1 <br /> <br />SECTION: <br /> <br />AREA: <br /> <br />TOWNSHIP: <br /> <br /> 90012-011 RES1 DENT 1AL <br /> <br />AU~ViLLE NO <br /> <br /> AUIV~V ILLE MEADO~'¢'.3 <br /> <br /> R~E NUMBER.*' ZONE: 10231 ~AP. <br /> VALUA'r ~ ~: <br /> <br /> IRREG, LOT; CORNER: <br /> '~ 2N ~ 51 <br /> <br />?6 100 7800. SF' NO NO <br /> <br /> 'lYRE: MECHANICAL PE,~IT OR APPLICATION <br /> <br />CONTRACI'OR, NO. 1505 <br />5ALP._,f4 HEA'rtNG & SHEET METAL [NC <br />P.O. BOX 12005 <br />SALEM, OREGON 9?309 <br />PHONE: 581~1536 <br /> <br /> ~TEM <br />Dr-bMEST[C RANGE HOOD <br />00~ EXHST FANS ~ DRYER VENTS <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MEChANiCAL 5'fA'i'E SURCHARGE <br /> <br />PAYEE: RALPH ~UTTER <br /> <br />NO: 9024245 <br /> <br />TOTAL .ASSESSED FEES <br /> <br />QUAN'T'jf'Y ANOUNT <br />1 ~4.50 <br />2 $6.00 <br /> $10.00 <br /> <br />$25.3? <br /> $0.00 <br />$25.37 <br /> <br />BALANCE OUE $0.00 <br /> <br />iNVOICE NO: <br /> <br /> ' 25591 <br /> RECEIVED BY: PS TYPE: IN CHECK ~: 0 <br /> ~ ~HiS IS NOT A PIERIRIT. THIS APPLICATION I~I.,~T ED THROU(~"t A REVIEb/ PROCEExS b~-IERE THE <br />· ¢:OLLOHING IcLJ~T 8E CC~IPLETEO. iT :iSTHE RESPONSiBiLiTY OF THE APPLICANT TO AS,~URE THAT <br />~ NECI~RY iNFOI~t~TION HAS, 8EBN PROVi[]ED. <br /> <br />PLAN REVIEW: BY <br />REI",IARKS: HO FN <br /> <br />CITY JURISDIC'flON: ~Y DATE <br /> <br />OFFICE COPY <br /> <br /> <br />