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 registered builder OR { ) the authorized representative SIGNATURE OF APPLICANT: <br /> of a registered builder, <br /> The work will be pedormed by a registered builder, <br /> Other <br /> <br /> this document. <br /> <br />~-' 'KEIZER BU~[J)Z146 & DESIGN ~RESiO)I:.WTIAL <br /> ............................................................. "~STRU~I~N YY~E: ........ ~ <br /> <br /> . ,.. F~E[LY DNEi, LZNC. <br /> <br />PMOI'IE: <br /> <br />AUflSVILLE MEADOWS <br /> <br /> SITE NUHBER: 74-~3972 <br /> VALUATION: se. me <br /> <br />TYPE.' DUILDIHr- PERHIT OR ApPLICATIOi,I HO: <br /> <br />CO~rrR~CTOR. NO~ <br />Mike k~bish~ta <br />,4, ll.e Appleblosso~ Ave N <br />Salem~ 77303-000f~ <br />PHOME. ~9¢-67].6 <br /> <br /> STEM ::¢ <br />FOOTING/FOUNDATION ONL~f <br />BUILD1N~ STATE SURCHARGE <br />ADDITIONAL SURCHARGES: <br /> <br />PAYEE: Mike Kubishta : <br />RECEIVED BY: I,Ib <br /> <br />* THIS ISA <br />CONSTRUCT[OH CEASES FOR <br />EBUIREMEHTS OF STATE <br />ALL BECOHE HULL AHD <br /> <br /> 59342 <br />ARCHITECT/ENGINEER~ NO. <br /> <br />QUANTITY AHOLll4'~' <br /> $0.50 <br /> <br /> $26.25 <br /> $8. oo <br /> $26.25 <br /> <br /> 61921 <br />::; TYPE: CK CHECK ~:: S:1,53 <br /> <br />REMARKS,", F'DO'tIN¢~ INSPEOTION :ONEY ::PERHIT; :,:::x::::' : ::' ; : : <br /> <br />;)0NALD E. <br /> <br />ITS ISSUE DATE. IF <br /> FAILS TO MEET ALL <br /> ORdiNANCES, THIS PERHIT <br /> <br />SETBACKS: i:'F~ 20 <br /> SF'_ ......... <br /> <br />W00DL. EY~ MARIEAt,:;,COUETY, BU~DINI2:,0FFICIAI',: / BY:!;'; ........................................................................ <br /> <br />FORM # MC 1§-56 REV, 4/~0 OFFICE COPY <br /> <br /> <br />