Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREE.T NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P,M. - 8:00 A.M, <br /> <br /> I am performing work on a property I own or occupy, <br /> lam a registered builder OFf( ) the authorized representative <br /> of a registered builder. <br /> The work will be performed by a registered builder. <br /> Other~__ <br /> I have read and agree to the terms stated on the reverse side of <br /> this document. <br /> <br /> DATE: 12/03/87 TIME: <br />OWNER: <br /> 1~4 ITENER, JIM <br /> <br />SITUS ADDRESS: <br /> <br />9:08t 18e <br /> ! TAX LOT: CATEGORY: <br /> <br /> 1190 N llTH l .......................... ; <br /> OR 97325 ~ I CONTRACT C TY ! UGB i OCCUPANT <br /> AUM~VI LLE ~R:ION COUNTY NO ! LOAD; <br /> <br />USE OF BUIt_CiNG: iN0 0F BEDROOMS: <br /> <br />LOT: BLOCK: <br /> <br />TYPE: <br /> <br /> i SITE NUMBER.' ~32'a0 <br /> r, i VALUATION: .... <br /> <br /> ,^REA, !UNITS: ~ m.RE6, LOT; j OORU~; <br /> NO <br /> <br />~IT OR ~I~TI~ 'NO: ~ <br /> <br />DUE <br /> <br />QUANTITY ~OUNT <br /> 1 $6.00 <br /> $10.00 <br /> ~0.80 <br /> <br />$20.84 <br /> $0. O0 <br />$20.64 <br /> <br />$0.00 <br /> <br />.::RECEIPTNO: 6357 <br /> <br />CONTRACTOR, NO.. 33803 <br />6A~LESHEATING <br />27'89 PRIN~LE PDSE <br />ECJ.EM. OR~ON 97302 <br />PHONE: 581-2972 <br /> <br /> ITEM <br />FORCAI;R F'URN 100000 BTU OR LES8 <br />MECHANICAL BASE FEE. <br />FLEET SURCHARGE -ZONE 3 <br />MECHAN[CAL STATE SURCHARGE <br /> <br />PAYEE: GAGLES HEATING <br /> <br /> RECEIVED BY: cl ....... =~= . ~ E-, CK, CHECK ~: 5885 <br /> · THIS ~..~'~~~ .... <br /> CO~ERrRUCTION~~-''-'~'~' -~"'""""'"~ "--' '~ ~A F~:B ~' ~ A <br />'~ B~ ~ ~D ~ID:. ', <br /> <br />DONALD E. NOODLE'Y,. f~ION COUNTY BU!LDIN~: OFFIbI~L': <br /> <br />~oR~ * ~<; ~.~B *~v ~/~ OFFICE COPY <br /> <br /> <br />