Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SEN.~,TOR SLDG. 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 owr~ or occupy, <br /> <br />of a registered builder, <br />The work will be per;ormed by a registered builder, <br />Other <br /> <br />~fus ~]~AN,~ J];~& TERES~ :.7~;55~e32CONSTRUCTiON TYPE: ~ESI~ENTIALoccuPANCV; <br /> <br /> 18;522 LEVERH~N RD SE ~ CONTRACT CITY; ,~ UGB; !OCCUPANT LOAD'. <br /> AUH~VILLE OR ~7~25 MAE~;ON C08NTY ~NO . <br /> <br /> 5&2 N 11TH <br /> AUMSVII,.LE SITE flU~BER: ?4-81692 <br /> PHONE: 74~-158~ VALUATION: <br /> <br />TYPE= PLUHBING <br /> <br />PERNZT OR APPLICATION NO: ~56475 <br /> <br />CONTRACTOR, NO. , <br />~0REHAN~ JIM & TERESA <br />562 N 11TH <br />AUMSVILLE <br />PNONE: 749-1503 <br /> <br /> ITEH <br />WATER LINES, 1ST 100 FEET <br />PL. UHBING STATE SURCHARGE <br /> <br />QOANTITY AMOUNT <br /> :L $20.~0 <br /> $1.00 <br /> <br />, TOTALASSESSED FEES $21.00 <br />: PREVIOUSRECEIPTS $0,,00 <br /> THIS RECEIPT $21.00 <br /> <br /> .: :: ':BALANCE DUE $0.00 , <br /> PA.Y. EE." FOREMAN, ,JIM & TERESa: RECEIP.T. NO: . 58981 <br /> RECEIVED ~1 ........ .. .... : TYFE: CE CHECK ~,: ~282, <br /> <br />FOLLOWING HUST BE COHPLET/D~ i:~'tS ,THE: RESPONSIBiLIfY OF THE APPLICANT TO ASSURE THAT <br /> LL HECESSARY iHFORHATiON HAS SEEN PROVidED.: <br /> <br /> PLaN REV~E~ BY ............ ~ D~TE ........... ~.: , ~[TY JURiSdiCTiON= BY .......... ~TE .............................. <br /> RE~ARKS, I~B FT ( WL : , <br /> <br />OFF]CECOPY <br /> <br /> <br />