Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGOK!' 97301 <br /> <br /> PHONE $88-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />I 8~ 0~rfo ming work on a property I own or occupy. <br />lam a regis erod bu der OR( ) the authorized representative <br />of a registered builder. <br />The work will be performed by 8 registered builder, <br />OUler__ <br />I hBvo frJad and agree to the terms stated on the reverse side of <br />this dooumer~t. <br /> <br />SIGNATURE OF APPLICANT: <br /> DATS: <br /> <br />o[~E: 08/07/87 TIME.- <br /> SHELTON, DAVID <br />SI~US ADDRESS <br /> <br />3:50.:56p <br /> <br />TAX LOT CATEGOR~ <br />CONSTRUCTION TYPE' OCCUPANC~ <br /> <br />CONNERICAL <br /> <br /> 140 HUM8UG <br />DETROIT OR 97342 <br /> <br />USE OF BUILDING: <br /> <br /> CONTRACT C~TY <br /> <br />DETROIT NO <br /> <br />MAILING ADDRESS: <br /> <br />SUBDIVISION: <br /> <br />H,~Cct~.D. LOTS. 30, 31 & 29 <br /> <br />LOT; SLOCK: <br /> <br /> 3O <br />WROTH' DEPTH: <br /> <br /> 125 <br /> <br /> SECTION: TOWNSHIP'. <br /> <br /> 1 <br /> AREA'. UNITS- <br />100 12500.0 <br /> <br /> SITE NUrflBER= 1720 <br /> VALUATION: <br /> <br />10 5E 105 <br />SF NO NO <br /> <br />TYPE: 'MOSILE Helle <br /> <br />CONTRACTOR, NO. <br />SHELTON, DAVID <br /> <br />PERMIT OR APPLICATION NO.: <br /> <br />3508 <br /> <br /> ITEN <br />MO8ILE HOME FIRST WIDTH <br />MOBILE HONE PLANS REVIEW FEE <br />FLEETS URCHARGE -ZONE 7 <br />NCSILE HONE STATE SURCHARGE <br /> <br />'TOTAL:A,!iSES~EDPEES <br />PREVIOUS RECEIPTS <br />THISEECE:IPT <br /> <br /> BALANCE DUE , <br /> <br />OUANTITY <br /> 1 <br /> <br />AMOUNT <br /> $35.00 <br /> 0.00 <br /> 8.96 <br /> 1.75 <br /> <br /> ~45.71 <br /> 45.71 <br /> $o.oo <br /> $o.oo <br /> <br />PAYEE: BY DN , ~NVOZCE NO~ <br />RECEIVED : ~__. T, YPE: CHECK ~. <br />* THIS IS A VALID PE~IT * THIS FRoN I~ I~]BllE DATE. IF <br />CONSTRUCTION CF_A.SE~ I=OR A PERIOD OF FAIL.~5 TO ~ ALL <br /> <br />ron~ ,, ~;~!~(~ n~v ~/~ OFFICE COPY <br /> <br /> <br />