Laserfiche WebLink
MARION COUI'j.,TY B~ILDING 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 PM - 8 00 A M <br /> <br /> I am performm9 work on a roperty I own or occupy <br /> I am a registered budder O1~ ( ) the authorized representative <br /> of o ¢oggstered builder <br /> The work Call be performed b~ a registerod buglder <br /> Other <br /> [ ha~e read a~d agree to tho terms stated on the reverse side of <br /> Chis document ~ <br />',~_: 08/02/..9 TI~IE: 8:12:43a <br /> <br />REST DENT [ AL,, <br /> <br />11852 STEINKAMP RD <br /> <br />CR 97325 <br /> <br />SE <br /> <br /> CONSTRUCTION T~PE <br /> <br />iV~.~'~T C4~d N Ty <br /> <br />UC~B NO <br /> <br />BUYERS' MR, NOACK <br />~;373 IVlTLLCREEK RD SE AUMSVILLE <br />PHONE: 76g-~7744 <br /> <br />SUBDIVISION PARCEL. 2 OFF 11852 <br /> <br /> SiTE NUMBER: 8890 VALJATIONt <br /> <br />LOf 8LOCK SECTION ~ TOWNSHIP ~S ~ANG~ ,~Az ZONE Ai:~ MAP <br /> <br />WIDTH ~4 ~, OEP'tH & 82 A~EA '} '~ 7 126 + UNITS SF IRREO LO1 NO CORNER NO <br /> <br />................... '~ NO: ~757~ <br /> <br />CONTRACTOR, NO. <br />WOL?E~S, EiLL <br />8UYERo: ~R, NOACK <br />]!373 MILLCREEK RB SE AUMSV~LLE <br />PHONE; ?69-??44 <br /> <br /> ITEM <br />WATER LINES, 1ST 100 FEET <br />MOBILE HOME SEWER AND WATER CONNECTION <br />FLEET SURE~ARGE .-ZONE 3 <br />RLJ~BING STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY ~NOUNT <br />1 $20.00 <br />1 $25 00 <br /> <br /> $2 25 <br /> <br />$$109 <br /> $0,00 <br /> <br />BALANCE DUE $0,00 <br /> <br />PAYEE RECEIPT NO: <br />It<ECEiVEID BY., PR TYPE; CHECK <br /> <br />· THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTiON FALLS TO MEET ALL <br />REQUIREMENTS OF STATE LAWS AND:MAR.ION COUNTY 8UtLBING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />:,~E}Vl ,,,K-,~ CONN ]WATER L!NE R~'785A <br /> <br />DONALD E, NOODLEY, ~IARION COUNTY BUILDING OFFICIAL <br /> <br />OFF[CE COPY <br /> <br /> <br />