|
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 a ragistered builder,
<br />The work will be performed by a regi81ered builder,
<br />Other
<br />
<br /> TAX LOT; CATCGORY;
<br />
<br /> C~NTRACT CITY: UGh; OCCUPANT LOAD;
<br /> 5,,-N
<br />58~ 8TH ST --
<br />
<br /> F (-17¢ ] L Y .~)W[!LL IJ'I[;S SUBDIVISION'. ~
<br /> L~'f 0F$!E 0UHSV'.[ L. LE H E:~I) O~,r=:
<br />&BE ¢60~, 9~"~8= z~- ............................................. [ ~ECTION'. TOWNSHIP: = ~ANG}¢[ [ 8iA q. ¢ ZONE'. 4.' 7" :'~,) 7 7&[.~:Z' '
<br />DEPTH: A~EA: ] UN TS j RREG LO~ 1'~5h'~'~
<br />
<br />TYPE: Bt4ELL~N6 PERMIT OR APPL'[CA?IOI,I
<br />
<br />f;01ftRACt0R,, H£),, 049;~0
<br />doh~ F
<br />6888 Rpck:L~d~e C'l:
<br />
<br />F't JOi,[E';,
<br />
<br />PWI"LL:(N[; ~UZL~iNE FE, E
<br />OWEI,,L'[ FIE; PI._IJH~'(NG
<br />DWELLING HEC!,.tAN~C~L
<br />DNEI_LIN{; EL.D:Ti~ ZC~L
<br />~WF;]J_~I46 S'rATE SLJRCHAR[;E
<br />
<br />PhYE':= Jdm F FCiegm-
<br />
<br /> 7054:~90 DP
<br />
<br />A~CHI: TECT/ENG tI~EER, NO,,
<br />
<br />l[~A,, A.S,zoSED FEES
<br />F'REV~0US RECEIF'TB
<br />THZS RECEZPT
<br />
<br />~At,.At*It, E DUE
<br />
<br />DUAFtT;[TY
<br />
<br />A~t0i.bIT
<br /> $285,,~
<br /> $I03,,96
<br /> $2~,.90
<br />
<br /> $24.81
<br /> $18%00
<br />
<br />$7~o..,6
<br />$705.,?~
<br />
<br />56065
<br />
<br /> FYX.'t?P/E:D BY': f:'N TYPE: :[N [,0E(,,R :[:,~ (~
<br /> * THIS IS HOT A PERHIT. THIS ~PPLIC~TiOH MUST ~ TH~OUCH A REVIEW PROCESS WH~E THE
<br />LL HEBES~RY ~HFORH~T[ON H~S ~EEN PROV%~E~.
<br />
<br /> PLAN. ACT ]'. ON ~
<br /> k,~kRgY PATH:
<br />C:tZYY ]u,,I t),L[ch IcY
<br />
<br /> ,,~l;1BA£JsS. FE
<br />1772
<br />
<br />,oem,~ ac ~s-~ r~Ev, 4~o OFFICE COPY
<br />
<br />
<br />
|