Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM1 OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />BA'IE]~ ~/07/<74 TIME: ?:4&:I7 <br /> <br />I~:;~D~E:RKEN.~ GEORGE F,, : 66845-"~ COHHERCIAL <br /> <br /> ';~-N , <br /> ~EITENOUSH NOTSPRZH~S .... ................................. <br /> <br /> Ol'HER NON-.RESIDENTIAL. [UILDiNCS <br /> <br /> BREITENBUSH LOWER CAMP <br /> <br /> SHEL'fOH W~ 9~584 SITE NUH~ER~ 94-~4282 <br /> PHONE: <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION HOt <br /> <br />[.,0~ I kA[.,.fO,¢% HO. <br />H[~I DI;?iRKEN,~ GEORG~i <br />PO BOX 608 <br />SHELTON ~A 98584 <br />,- Hl.ldlr.. 2~6--264--6 <br /> <br /> IT'EH <br />3U rI.D.[I,IG FEE <br />F'LAN REVIEW <br />~U.[L]D%NG STATE SURCHARGE <br />ZONIr4G 8URCNARGE <br /> <br /> ~57468 <br />ARCHITECT/ENGINEER~ <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS'RECEiPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $74,50 <br /> <br /> 83..73 <br /> <br />~0,,00 <br /> <br /> PAYEE: 62045 <br /> RECEIVED BY= I~b .............................................................. TYPE: CHECK .P-' 0 <br /> <br />* THIS IS NO1 A PERMIT. , THIS APPLICATION MOST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETEB. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY INFORHATiQN~AS BEEN PROVIDED. ' <br /> <br /> 6IFY JURiSDI[,TZDND 8Y D~TE ENERGY P~TH: SF'"n~' <br /> F<gMARKS~ HAINIENANCE <br /> <br />~o~ ,~ MC ~s.s~ ~ev. 4~ OFFICE COPY <br /> <br /> <br />