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 />~ sm performing work on a progerty I own or occupy <br />I em ~ registered builder OR the authorized representative SIGNATURE OF APP,. CANT: <br />of a registered builder. <br />The work will be pedormed by a registered builder,: <br />Other. ' <br /> <br />this document, <br /> <br /> 10§9 hi. 2ND ST <br /> JEF'FERSON OR 97352 SITE NUHBEE.' 94-E2258 <br /> PHONE: ~27-2~1~ VALUATION: $~B~. 88 <br /> 1 ~LOCK: ISEOTION; TOwNSNIP: RANGE ZONE: ]' ~P'. <br /> <br /> .............. ........... 1 .............. <br />....... ~_b ...... ~+e~--~.t~A-~-~F'..] ................ L ,~8 ....................... -J..~-~W~ ....................... <br /> <br />TYPE= BUILDING <br /> <br />COHTRAOTOR, HO. <br /> Capitol Awrting <br />518 Valleywood Or <br />Sa lem.~ 97~06 <br />PHONE. ,~3.-1711 <br /> <br /> ITEM <br />BUILD,N6 FEE <br />PLAN ~EV:[EW <br />BUILDING STATE <br /> <br />PAYEE: Capi.tO]. Awning <br />RECE:I:VE~) BY. PB <br /> <br /> ~ THIS ~S NOT A <br />FOLLDWIN~ HUST BE <br /> LL NECESSARY <br /> <br />PI_AN REVIEW: BY <br />ZONING: 8Y <br />SEPTIC:; BY ........... <br /> <br />C;[TY JuRISDICTION,~ BY <br /> <br />PERMIT OR APPLICATION HO= <br /> <br />98940 <br /> <br />SE <br /> <br /> 9~S5649 <br />ARCHITECT/ENGINEER, I,IO, <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $~8,,50 <br /> $25..0; <br /> $1.93 <br /> <br />$65.46 <br /> $0.00 <br /> <br /> 58i~6 <br />TYPE: IN CHECK ,~: 0 <br /> <br /> h REVIEN PROCESS NHERE THE <br />~HEAPPLICANT TO ASSURE THAT <br /> <br />1 <br /> <br />J,,R <br />LS / <br />RS'-& <br />RR-10 <br /> ....... <br /> <br />FORM # Me 1 t-~,6 REV, 4/~t0 OFFICE COPY <br /> <br /> <br />