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 ( ) the autnorlzed rep~esentatlve <br /> <br /> I have read and agree to the term8 stated on the reverse side of <br /> this document. <br /> <br /> OATE: 01/15~9~ TINE: 16:18:57 <br />bWN~R; <br /> LAidBRECHT OELNER <br /> <br /> SITUS ADDRESS: <br /> <br /> 5356 ANDERSON RD SE <br /> AUNSVILLE OR 97~25 <br /> <br />US~ OF BUILDING'. <br /> AGRICULTURAL STRUCTURES <br />MAILING ADDRESS: SUBDIVISION: <br /> <br /> RESIDENTIAL <br /> <br />5-N N-1 <br />db~fRAdT CiT~: UGLY: : ObOuPANT LbAD; <br />MARION COUNTY: NO <br /> <br />SAME <br /> <br />PHONE: 769-2204 <br /> <br />SITE NUMBER: 9~-00199 <br />VALUATION: $0.00 <br /> <br />:lOT: gOOch: <br />W~DTH: DEPTH; <br /> <br />; SECTION; TbWN~HI~i ,' RANGE: ' ZONE: <br /> <br /> 16 8S IW ( EFU <br /> AR~A; ONi~ iRRE~, LOT: CORNER: <br /> 25, : AC NO NO <br /> <br />, MAP: <br /> <br />TYPE: BUILDING <br /> <br />CONTRACTOR, NO. <br />LAH8RECNT. DELMER <br />SAME <br /> <br />PHONE; 769-2204 <br /> ITEM <br /> <br />PERMIT OR APPLICATION NO: 9044867 <br /> <br /> ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> $0.00 <br /> <br />$0_00 <br />$0.00 <br />$0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE; I <br /> RECEIVED BY' NB __ ~ TYPE' CHECK ~- 0 <br />* THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLONiNG MUST BE COHPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />LL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY ~-~E ~,~ ¢~,-~ <br /> DATE_ .~,,~-'~1~ HEIGHT: <br />ZONING: 8Y_~¢~~ ........ OATE_Z~,~.~_~ TOTAL SQ FTc <br />SEPTIC: BY ..... ]Z"Z]]ZZ]]Z OATE ............. STORIES: <br /> PLAN.AgTION: <br />CITY JURISDICTION: BY ........ DATE ......... ENERGY PATH: <br /> <br />REMARKS: AGRICULTURE EXEMPT NS USED AS FARM STORAGE BLDG <br /> <br />SETBACKS: FR <br /> t. szzzz _- <br /> RS__-:= <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV. 4/90 <br /> <br /> <br />