Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM. OREGON 97301 <br /> <br />( ) <br /> <br />( ) <br /> <br />OWNER; <br /> LIFPLANDER!, JOHN & CAROL <br /> <br /> " PHONE: 588%147 8:00 - 4:30 <br /> <br />I am a registered builder OR ( ) the au horized epresen a Ye SIGNATURE OF APPLIC <br />of a regi,tered bui,der. <br /> <br /> D~TE: 08/24/9~ <br /> TAX L0¢: CATEGORY: <br /> 57665-000 : RES~t. EN~ <br /> <br />AUMSVIL'E OR <br /> ocCUPAnT LOAE): <br /> <br />5B90 BALSAM DR S <br />BALEH OR ¢7302 NK 378-3738 SITE NUMBER: 92-01&40 <br />PBONE: 565~64/B VALUATION: <br /> <br />$~CTION; TOWNSHIP: RANGE; ~(~N~: MAP: <br /> <br /> 24 8S 2~1 SA 51 <br /> 3.~. 4 RC NO NO <br /> <br />TYPE; MANUFACTURED STRUCTURE <br />CONTRACTOR, <br />LIFFLANDER, J01tN a CAROL <br />7290 BALSAM DR S <br />SALEM OR 97302 ~K 37B~37~8 <br />PHONE; <br /> <br />PERMIT OR APPLICATZON NO: 9042117 <br /> <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURED STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCMARGE <br />MANUFACTURED STRUCTURE ZONING SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE OUE <br /> <br />QUANTITY AMOUNT <br /> $182,00 <br /> $20.00 <br /> $9,10 <br /> $15.00 <br /> <br />$226~10 <br /> $O~00 <br />$226,2O <br /> <br />$0~00 <br /> <br />PAYEE: LIFFLANOER, JOHN & CAROL RECEIPT 4416,3 <br />RECEIVED BY: CL .................................... TYPEi OK CHECK fO: 1321 <br /> <br />* THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT I8 THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY INFORMATION HAS BEEN PROVIDEG. <br /> <br />LAMMING ACTION: <br /> <br />CITY JURISOICTION: BY ............ OATE ............. <br />REMARKS: PLACEM,:NT PERMIT <br /> <br />SETBACKS: F R ...~_. _-,A..... <br /> L S ~ .~.~_ <br /> <br /> RR-2'~;~~' <br /> <br />OFFICE COPY <br /> <br /> <br />