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 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a registered builder OR he au hor zed ep eser~ ave S GNATURS OF APPL CA <br /> of a registered builder, ~ <br />The work will be performed by a regis,ered builder. <br />Other ,, <br />I h.a, ve read arld agree to the terms ~teted on the roverse side of DA~E; <br />th~s document. '/ I - ' <br /> ! <br /> <br />OWNER: <br /> <br />DATE; 08/24/92 TIHE: L4".48:20 <br />LIFFLANDER. JOHN & CAROL 5'7665-000 <br /> <br />SITUS ADDRESS <br /> <br /> 8851 SH[TH RD <br />AUHSVILLE <br /> <br />USE OF BUILDING. <br /> <br /> SE <br />OR 9732S <br /> <br />CONSTRUCTION TYPE: <br /> <br />: OATE&ORY'. <br /> RESIDENTIAL <br /> <br />, OCCUPANCY: <br /> <br />:OCCUPANT LOAD; <br /> <br />SUBDIV SION <br /> <br />3~90 SALSAN DR S <br />SALE~ OR 97302 <br />PHONE: 363-.64].8 <br /> <br />SITE NUHBER: <br />VALUATION: <br /> <br />92-01640 <br /> <br />LOT: <br /> <br />WIDTH: <br /> <br />BLOC~ SECTION TOWNSH[P: <br /> 24 88 <br />DEPTH. <br /> <br />RANGE: ZONE' MAP <br /> <br /> 2W SA 51 <br /> RRE~. LOT CORNER: <br /> ~0 N0 <br /> <br />TYPE: PLUNBING PERHIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />LIFFLANOER~ JOHN E CAROL <br />3290 BALSAN DR S <br />SALEH OR 97302 WK ~78~758 <br />PHONE: 563,,%418 <br /> <br /> ITEM <br />WATER LINES, &ST ~00 FEET <br />PLUHSING STATE SURCliARGE <br /> <br />9042119 <br /> <br />TOTAL ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> I $20.00 <br /> $1.00 <br /> <br />$21_00 <br /> $0,,00 <br />$21.00 <br /> <br />BALANCE DUE $0,00 <br /> <br /> PAYEE: LIFFLANOER~ JOHN & CAROL RECEIPT NO: 443.65 <br /> <br />* THIS IS NOT A PERHIT. THIS APPLIOATION MUST 60 THROUCN A REVI[W PROCESS WHERE THE <br />FOLLOWIN6 HUST BE 60~PLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />LL NECESSARY INFORHATION HAS BEEN PROVIDED, <br /> <br />PLAN REVIEN; 8Y ............... OATE'~ .............. CiTY JURISDICTION~ BY ............ DATE ..................... <br />REMARKS: <100 Fl' WL <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV, 4~9o <br /> <br /> <br />