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 performing work on a property I own or occupy. <br />lamaregiateredbuilderOR( )theauthorizedrepresentatlve <br />of a registered builder. <br />The work will be performed by a registered builder, <br />Other. <br />I have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br /> I)A¥I5 , _l RESZDEN'¥'IAL, <br /> <br /> I462 S'f'EINKA~P RD BE ~ CONTRACT CITY'. UGB'. OCCUPANT LOAD: <br />AUHSVII,,,LE OR 77;~52 iMARION COUNTY~ N0 <br /> <br />I i SiTE NUMBER: <br />i PHONE:: 749"-~558 I VALUATION: <br /> <br /> 'L~T;' ' I BLOCK; SECTION; TOWNSHIP; ~RANGE; <br /> <br />TYPE= PLUMBIN6 <br /> <br />PERMIT OR APPLICATION NO= 51247 <br /> <br />CONT~ACTOR,¢ NO,, <br />Judsons lnc <br />PO Box 12649 <br />~alel% ~7307-~000 <br />FHONE: ~6~'"'4141 <br /> <br /> ]:TE~ <br />RES[DENT:I:AL FIXTURE~ ALTERATIONS <br />PLUMBING BASE FEE <br />PLUMBING ~l'Al'E SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> <br /> $20.00 <br /> $2~80 <br /> <br />TOTAL A'SSE~SED FEES <br />PREVIOI,I~ RECEIPTS <br />THIS RELEIPT <br /> <br />$58.80 <br /> $0.00 <br />$58.00 <br /> <br />BALANCE 'DUE: '~;0.00 <br /> <br /> PAYEE= Judsot'm '(~c RECEIPT biO: 5~667 <br /> <br />* THIS IS A VALID PERMIT A , THIS PERHI~ EXDIRES 18G DAYS FROM IT8 ISSUE 9ATE. IF <br />CONSTRUCTION CEASES FOR A PERIO~ OF 188 ~AYS, ',OR IF CONSTRUCTION FAILS TO NEET ALL <br />EQUIREHENTS OF STATE LAWS. AH~ MARION COUNTY BUILDING AND ZONING ORDIHANCES~ THIS PERHIT <br /> ALL ~ECO~E NULL AND VOID. ~ ' / " <br /> <br /> REMARKS~ 4 altr for ': / BY <br /> ~ONA[_D E., WOODLEY.~ MARION COUNTY BUZ'LQIN6 OFFICIAL " ................................................................. <br /> <br />FORM # UC Is.~.~v, 4~o OFFICE COPY <br /> <br /> <br />