Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> RHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performin(j work on a property I own or occupy. <br />I am a registered D dlde OR he au ho zed ep esen a ye <br />of a registered builder, <br />The work will be perforr~ed by a registered buitder. <br />Other <br />I have read and agree to tile ten'ns StBb2d Cfi the reverse side of <br />this document. <br /> <br />S~GNATURE OF APPLICANT: <br /> DATE: <br /> <br />OWNed'rE: 12/18/91 TINE= <br /> <br /> Dt'T"f'I'4AN, JERRY <br />SITUS ADDRESS: <br /> <br /> 2,~5 YE~ <br /> AUFLSV[ LLE OR 97'325 <br /> <br />USE OF BUILDING: <br /> <br /> TAX LOT: <br /> <br /> 57706~000 <br /> <br />CONTRACT CITY: UGB: <br />AU~VJ LLE NO. <br /> <br />CATEGORY: <br /> <br /> RES[ DENI IAI <br /> <br />SANE <br /> <br />PHONE: '149-3848 <br /> <br /> 55 <br /> <br />RES;(D,EN'f'IAL ACCESSORY S'TRUCTDRE~ SUBDIVISION: <br /> <br />EVERGREEN ~H PARK <br /> <br />SECTION: TOWNSHIP: <br /> <br />StI'E NUMBER: 14703 <br />VALUA'FZON: $2,600,00 <br />RANGE: ZONE: MAP. <br /> <br /> IRREG, LOT: CORNER: <br />SF YES NO <br /> <br />Rf4 <br /> <br />TYPE: BUILDING PE~¢li'f OR APPLICATION NO: <br /> <br />CONf'RACTDR, ND. 42258 <br />De"l NcConm~¢k <br />1369 Nepffweathe~ C~ SE <br />,,'~3"lem, 97306~0090 <br />PHONE: 363-'t711 <br /> <br /> I'T'EN <br />BUILDING FEE <br />PLAN REVIEW <br />BUJLD~NG STATE .BURCHARGE <br /> <br />PAYEE: <br /> <br /> 8?4O8 <br />ARC~J'fECT/ENGINEER, NO. <br /> <br />To'rAL ASS~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />~UANT'.[T'Y <br /> <br />A~UNT <br /> ~38.50 <br /> 25.03 <br /> $1.93 <br /> <br />$65.45 <br />$65_46 <br /> $0_00 <br /> <br />BALANCE CUE $0.00 <br /> <br /> RECEIVED BY: DH2 TYPE: CHECK ~; 0 <br /> <br />~ T'HiS IS A VALID PER~iT ~ THIS PER'NIT EL.~PIRE~ 180 DAYS FRei'4 iTS I~E OAf'E. IF <br />CONS'IRUC'f'iON C~ES FOR A PERIOD OF 180 DAYS, OR iF CONS'rF~'UCTiON FALLS 'f'O ~EE'f ALL <br />RE©UiRENENTS OF STATE LAN~ AND r4ARiON C~UN'T'Y BUiLDiNG AND ZONING ORDINANCES, THiS PEK~.[f <br />5HALL 8ECONE NULL AND VOID_ <br /> <br />SETBACKS; FR 10 LS 10 RS 10 RR 10 SP <br />REfVlARKS: CAR,O'eR1 .................... <br /> <br />HEiGHt: 11 fO'T'AL SQ Fl': 260 SI'CRIES: 1 <br /> <br />~.)NALD E. WOODLEY, IVIARION COUNTY BUiLOiNG OFFiCiAL / 8Y <br /> <br /> OFFICE COPY <br />FORM ~ MC 15.56 R~V, 4/~0 <br /> <br /> <br />