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 /> I am a reg~steced builder OR the authorized representative SIGNATURE OF APPLICANT: <br /> of e registered builder. - .............. <br /> The work will be Pedormed by a registered builder. <br /> Other__ <br /> I have read and agree to the terms stated on the rev~r~e side of DA~; .................. <br /> this document. <br /> <br />...... [ ~TE,.._~Z.I~Z~ ........... <br />OWNER ' TAX LOT CATEGORY; <br /> <br />~i~gs 'kd6fi~$$; ...................................... <br /> <br /> AUMSVILL. E OR <br /> ......................................................... <br /> SINGLE FAMILY DWELLINGS <br /> [ <br />~i[[~'%dS'E'~s'= ............................................... s ~ 5 ,~%~-~7 .......................... <br /> AUM~VILLE AgDITIQN <br /> PO BOX 642 <br /> AUMSV]:LLE. OR 77~25 SITE HUHBER: 94-82829 <br /> PHONE: 749-1512 VALUATION: <br /> <br /> _OT~ .... 8'~'C~ ............. SECTION;---'~, TOWNSH*P; ....... <br /> ~-i~--- <br /> <br /> ..... : .......... ................. .... ............................ ................................... <br /> <br />TYPE= BUILDINg <br /> <br />PERNIT OR APPLICATION NO= <br /> <br />O~NI'RACTOR~ NO. <br />(;RIMES~ DALE <br />PO BOX 542 <br />AUHSVILLE, OR 97~25 <br />PHON£: <br /> <br />BIJIL, D~HFEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br /> 56685 <br />ARCHITECT/ENGINEER~ NO. <br /> <br /> PAYEE: GRIMES, BALE <br /> RECEIVED BY: PM <br /> <br /> * THIS IS A VALID <br />CONSTRUCTION CEASES <br />EOUIRENENTS OF STATE <br />ALL BECONE NULL AND <br /> <br />ENERGY PAI'N: <br /> <br />PHONE: <br /> <br />QUAHTITY AMOUNT <br /> $32,,50 <br /> $21,13 <br /> $1.63 <br /> <br />$55.26 <br /> $8.88 <br />$55.26 <br /> <br /> 59195 <br />TYPE: IN CHECK ~:: 8 <br /> <br />ITS ISSUE DATE, IF <br /> TO MEET ALL <br /> ORDINANCES, THIS PERMIT <br /> <br />SE'TBACKS: F'R 20 <br /> LS-5 <br /> RS--S <br /> RR"S <br /> <br /> OFFICE COPY <br />PORM # MO 15,56 REV. 4V80 <br /> <br /> <br />