Laserfiche WebLink
MARION COUNTY, BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SA L E M~,:OR'EG'O N 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4;$0 P,M, - 8:00 A.M, <br /> <br />I 8m a registered builder OR ( )theauthortzed representative <br />of a cegistered builder, <br />The work will be performed by a registered builder, <br />Other. <br /> <br />SIGNATURE OF APPLICANT; <br /> DATE: <br /> <br /> DATE; 0'7/06/8? T;ME: 3;59:10~ ..... <br />OWNER: TAX LOT~ CATEGORY~ <br /> SELNES, ARNOLO & EVELYN 51374.-000 <br />SITUS ADDRESS: CONSTRUCtiON TYPE~ i OCCUPANCY: <br /> <br />R <br /> <br /> ...... :' P~Ei ' OCCUPAN~ LOAD: <br /> 9143 W. STAYTON RD SE ; CONTRACT SITY; <br /> AUMSVfLLE OR 9?325 <br /> ~ MCi <br />USE OF BUlL~IN~: ~O 0F BEDROOMS: <br /> <br /> PHONE: <br /> <br />LOt': <br /> <br />WIDTH~ <br /> <br /> VALUAT ION: <br />~,OCK. 'SECTION: TOWNSHIP'. RANG~ IONS MAP- <br /> <br /> 99 ;?.be E?U 52 <br /> '7. 9000C AC N: <br /> <br />SELNES, ARNOLD & EVELYN <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY= <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING BRAIN FIELD LINES; <br />SERTID TANK PUMPED: <br />PREVIOUS NO- BEDROOHS: <br /> <br /> ; TEIVl QUANT I TY AMOu;W'T <br />SE ( 8 NON'rE'IS OLD 'I $(:i!:, ,%q <br />.2;,',"~ EVA,_UATZ(:)N, F;RST LOT $155.00 <br /> <br />TOTAL ASS~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$230.00 <br /> <br />BALANCE <br /> <br /> ,YE ~: <br />RECE;VEO BY: P8 <br /> <br /> INVOICE NO: <br />TYPE; CHECK <br /> <br />SEE ATTACHED DOCUMENT FOR <br /> <br />SYSTE~4. <br /> <br />NOTE= THIS DO~ NOT GR,N'4] <br />OON~TRUCT I ON PEf;i~lI TS <br /> <br />EONALD E. NOODLEY, MARION <br /> <br />PARCEL. PLANNING AND <br />INSTALLATION BEGINS. <br /> <br />OFFICe COPY <br /> <br /> <br />