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 />of ~ registered builder, <br /> <br />Other <br /> <br /> ;,,:,~Z.d ~ ~'::! <br /> ,~,~_ ~ J~ [-. ~[ ~)~ ..... ~"---- J.~ ~ CONTRACT CITY; ~ OGB'. ,~OGCUPANT LOAD: <br /> AU~SV]]_I.E OR 9/'Z~'2b ~ALI~SVtL[_E ~ NO <br /> <br /> AUHSV',d,,.LE~ 0R 97325 ~[TE NU~ER: 94-~1697 <br />LOT'. ~LOOK'. ~ S~CT ON: ~ TOWNSH P , R~; ~, ZONE'. , MAP; <br /> <br />TYPE: BUIL~tNG , PERHIT OR APPLICATION NO: <br /> <br /> Z'I'EH <br />~U;[U)INO FEE <br />Pt,AN REVIEW <br />~UI[..~.[NG STATE SURCHARGE <br /> <br />PAYb;E~ I)~.,], HcCorr,lick <br /> <br />ARCH:i: TEC"r/ENO ~NEEI% NO. <br /> <br />PHONE: <br /> <br />TOTAL AfiSESSED FEES <br />PREVI1]U$ REC-EIPT~ <br />TH,T_8 RECE:[PT <br /> <br />BAEANCE DUE <br /> <br />C~U Al'~'l- I TY <br /> <br />AMOUNT <br /> $38,, 58 <br /> $25., ~3~ <br /> $1.93 <br /> <br />$ 65 ,. 46 <br /> <br />$65.46 <br /> <br />5711,)E~ <br /> <br /> hE&E,l,V¢;¢) ~Y'; PM TYPE: IN CHECK :~: 0 <br /> <br />~ THIS IS HOT A PERMIT'. THIS?APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING ~UST BE COHPLETED. "IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY IHFORHATION HAS BEEN PROVIBED. <br /> <br /> SA] <br /> <br />I;.','IY JUF, 'f;'._I].[.I. };¥ DATE'. <br /> <br />ENERGY PATE-:: SF'" <br /> <br />FORM Cf MC 15-56 REV. <br /> <br />OFFICE COPY <br /> <br /> <br />