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 <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 />I:zm aregrsteredbudderORI ~ the authorized representative <br /> <br /> I have read and agree to the terms stated on the rererse side of <br /> <br />DATE~ 05/02/88 TIME~ ]~43;31o <br /> <br /> ~OOLSEY, 0UANE <br /> <br />SITUS &DURESS <br /> <br />SIGNATURE OF APPLICANT <br />TA× LOT CATEGORY <br /> <br />RES ] DENT ! ,iL. <br /> <br /> 45? MCCLELLAN RD SE CONTRACT CITY gGg OCCUPANT LOAD <br />.~dNSV ~LLE OR 9?325 <br /> MARION COUNTY NO <br /> <br />NEST STAYTON LO'[S 3-8 <br /> <br /> PHONE: 7z].9"" 1573 SITE NU~4BER; <br /> VALUATION; <br /> <br />LOT BLOCK SEC]ION TOWNSIflP RANGE ZONE <br /> <br /> 8 ; 2 9S 2W AR 62 <br /> <br /> 150 2?5 NO NO <br /> <br /> -FYPE, MOBILE HOME PERMIT OR APPLICATION NO, ~..~..¢~ <br /> CONTRACTOR, NO. <br /> WOOLSEY, DUANF <br /> <br />PHONE: <br /> <br /> iTEM <br />MOBILE HOME FIRST WIDTH <br />MOBILE HOME ZONING SURCHARGE <br />FLEET SURCHARGE -ZONE 3 <br />~OBILE HOME STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY <br /> ] <br /> <br />AIvOUNT <br /> <br /> $I <br /> <br /> 75 <br /> <br /> $42.34 <br /> $,42 34 <br /> $0 00 <br /> <br /> ~0.00 <br /> <br />PAYEE: RECEIPT NE): <br />RECEivED BY: JB TYPE: CHECK ~: <br /> <br />~ THIS IS A VALID RE~IT * ~IS PE~IT ~PIR~ ]80 DAYS F~ ITS I~E ~TE. I~ <br />~ST~CTI~ C~ FOR A PERIOD Of 180 DA~,OR If ~ST~OTI~ faI~ TO NE~ ALL <br />REdIReCTS OF ,.STATE ~ ~B ~RI~ ~N~ BUILDING ~B Z~ING ORDIN~C~, ~IS PE~;T <br />~ALL 8~E NULL ~D VOID. <br /> <br />~Ii.M ,, MO I~ ~l~ ~r~ 6~, OFFICE COPY <br /> <br /> <br />