Laserfiche WebLink
of a re~istered builder, <br />The work will be pertormed by a registered builder· , <br />Other <br /> <br /> MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO. 225 <br /> 2201 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONEi588'5147 8:00- 4:80 <br /> 24 HOUR ~ODE-A-PHONE: 588-?904 <br /> <br />I am performm§ work on a property I own or occupy. <br />I am a registered builder OR ( ) the authorized representative SIGNATURE OF APPLICANT: <br /> <br />I have read and agree to the terms stated on the revbrse side of <br />this docymer~t, <br /> <br />oWN~;R;DATE: ~;~4/97/94 TINE: 1¢8~ 1'8~:'~7 ' TAX LOT: ,OAT~GORY: <br /> <br /> U~¢CI4E,¢ HEI.. & ,J0~)'( 7538e-528 RESidENTIaL <br />SITUS ADDRESS: ~0N~Y~OBfi~ ~E: , dCCUPANCY: <br /> <br /> 8(~8;J SHA~ S(~t.J~¢~E: R~ SE CONTRACT O TY; ; UOB: ;OGOUPANT LO*D; <br /> AUNSVILLE OR 9~325 iMARION COUNTY ~ NO <br /> <br /> ~ SITE NUHI~ER~- 74~1~47 <br /> PHONE:: VALUATION: $4.~ ~t~., ~ <br /> <br /> LOT: BLOCK; ' ~ECTION: TOWNSgIP; ' RANGE; ~' ~: :~AP <br /> <br /> AREA~ UNITS: ~ IRREG, LOT: ~ CORNER: <br />.............. <br /> <br />TYPE: BUTLDINC. PEEHIT OR APi'LICATION HOc <br /> <br />CON-rRACT01~!, NO. 61474 <br /> LBl"f'y ~ Kuenig :[nc <br />5496 72nd Ave OE <br />SaleM~ ~7~01-0088 <br />PHONE: 385-'8884 <br /> <br />BUILDING FEE <br />PLaN ~EVIEW <br />BU'.[LD'ING ~'f~TE SURCHORGE <br />ZONING SURCHARGE <br /> <br /> ~85~528 <br />ARCHITECT/ENGINEER~ NO. <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />Ai~OUNt' <br /> $265.08 <br /> $:1.72.25 <br /> $1:~. 25 <br /> $ :L Z, ,. 25 <br /> <br />TOTAL ASSESSED FEES $4&3.75 <br />PREVIOUS RECEIPTS $SS5., 00 <br />THiS RECEIPT $0,, 80 <br /> <br /> $78.7~ <br /> <br /> TYPE: <br /> <br /> PAYEE: <br /> RECEIVED BY: PB CHECK ,~: 0 <br /> <br />~ THIS IS HOT A PEEflZT. THIS ~PPLICATZON:HUST r_~:THROUGH:A REVIEW PROCESS ~HERE THE <br />FOLLOWING flUST DE COHPLETEO, IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY IHFOR~ATIOH HASBEtH PROVIDED. <br /> <br />PLAN RFVT. EW: BY DATE <br />ZONING: BY ........................ DATE <br />SEP'F]:C,". BYTj;;~;"~'~"_".-_;;7'Z_-.;_"';'j;"_'"'_'_-Tj DATE .'_-~;;~'_"_'~'_".~E~"_';'_'"_' <br />..... ' ~' ' " )!ATE <br /> ,[;Y ~tURIS:f)]:LT:t:0N~ 9¥ ................... <br /> <br />RI.--;P~FiRKS:; RES/ADD. OKAY ALTERAT.0N TE <br /> 4.-?.-94~ <br /> <br />HEIGHT: SETBACKS: F:'R 2~! <br />TOTAL SO IrT: 1~78 L.S :[~!i <br />STORIES: ]. RS'" :1. (~ <br />PL,,AN. ACTION: RR] 3~ <br />ENERGY PATH: I SP. <br /> <br />SEI::"f~C. SEE SITE PLAN 3/2:~/94,, ~BAL. DU[~: <br /> <br />OFFICE GOPY <br /> <br /> <br />