Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR B.~.DG. NO. 225 <br />220441GH 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 />( ) Other_ <br /> <br />BIGNATUR~ OF APPLICANT: <br /> OAT6: <br /> <br />~,.+ 01/02/90 TIME: <br /> B I ELENBERG, TIM <br />SITUS ADDRESS: <br /> <br /> 61964-000 <br />CONSTRUCTION TYPE: OCCDPANC¥: <br /> <br />RESIDENTIAL <br /> <br /> ?925 HILTON LANE SE __ i U~'~: OCCUPANT LOAD: <br />TURNER OR 97392 <br /> MAR,I, ON, COUNTY ' NO <br /> <br />MAILING ADDRESS; <br /> <br />SUBDIVISION: <br /> <br />11314 MILL CK RD <br />AUM~VILLE, ORE 97325 <br />PHONE: ?69-2090 <br /> <br /> SITE NUMBER: 9138 <br /> VALUATION: <br />LOT: BLOCK: sEcTION: TOWN~MIP: ~ANGE: ZONE: MAP: <br /> <br /> AREA: 26 9S 2W , EFU <br /> ~UNITS: IRREG LOT: CORNERI <br /> <br /> 60 AC NO YES <br /> <br />WIDTH: DEPTH: <br /> <br />TYPE: PLUMBING <br /> <br />CONTRACTOR, NO. <br />BIELENBERG, TIM <br />11314 MILL CK RD <br />AUNSVILLE, ORE 97325 <br />PHONE: ?69-2090 <br /> <br />PERMIT OR APPLICATION NO: 9021072 <br /> <br /> ITEM <br />SEWER LINES, 1ST 100 FEET <br />MOBILE HOME SEWER AND WATER CONNECTION <br />FLEET SURCHARGE -ZONE 2 <br />PLUMBING STATE SURCHARGE <br /> <br />PAYEE: 8IELENBERG, TIM <br /> <br />TOTAL ASSEBSEDFEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />1 $30_00 <br />1 $25_00 <br /> $2.56 <br /> $2_75 <br /> <br />$80.31 <br /> $o.oo <br />$60_31 <br /> <br />BALANCE DUE $0,00 <br /> <br />RECEIPT NO: 22345 <br /> <br /> RECEIVED BY: c] TYPE: CK CHECK :~: 6289 <br />* THIS IS NOT A PER,lIT. THTS APPLICATION r~JST GO THROU(~-{ A REVIE~ PROCESS NHERE THE <br />FOLLONING IqJST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO A,.%.°AJRE THAT <br />¢d_L NECESSARY INFORIqATION HA~ BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY <br /> <br />REMARKS: CON, SL <br /> <br />DATE <br /> <br />CITY JURISDICTION: BY ........ DATE .......... <br /> <br />FOI~M ,, MC l~Rr, RFV 6/87 OFFICE COPY <br /> <br /> <br />