Laserfiche WebLink
I,(~ COUNTY BUILDING INSPECTION <br /> SENATOFC-SLDG:"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 perferm~n9 work On a property I O~r/ Or occupy <br /> f am a registered builder OR I ) the authorized representative <br /> of a registered builder <br /> The ¢~ork will bo performed by a r¢gistered builder <br /> Other -. <br /> I have road and agree to the term~ stated on the roverse side of <br /> <br />DATE: 07131189 T II'~E: 4:30.'19p <br /> STARR, ALFRED <br /> <br /> 13052 BROOKSIDE DR NB <br />,AURORA OR 9'$'002 <br /> <br /> RES I DENTfaL, <br /> <br /> 5-N <br /> <br />MARION COUNTY NO <br /> <br />~^,~,NG~DO.~SS SINGLE BAr~ILY ,D~LLINGS <br /> SaVIE ~ <br /> PHONE; 678-1109 <br /> <br />SITE NUMBER: 7993 <br />VALUATION: $350.00 <br /> <br />NO NO <br /> <br />TYPEt BUILDING PERMIT OR APPLICATION NO: <br /> <br />~ONTRACTOR. NO. <br />TARR, ALFRED <br />S~ME <br /> <br />PHONE: 678-1109 <br /> <br /> ITEM <br />BUILOING FEE <br />PLAN REVIEW <br />BUILDING ~ INVESTIGATION/DOUBLE FEE <br />FLEET SURCHARGE -ZONE 5 <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br /> 9017781 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />0UANTITY <br /> <br />TOTAL ASSESSED BEES <br />~R~",/IOU$ RECEIPTS <br />THIS REOEIPT <br /> <br />AMOUNT <br /> $10.00 <br /> $6.50 <br /> $],o_oo <br /> $7.6$ <br /> 0.50 <br /> 0 50 <br /> <br />$35.18 <br /> $o.oo <br />$35.18 <br /> <br />om .... : 8Y DATE <br /> <br />RE~RKS:~ONVERT GARAGE TO O~ OR REC RX?S48 <br />HE*~H~; TOTAL SQ BT: O STORIES: '1 PL.&N.ACT~ONt <br /> <br />CITY JURISDICTION: BY ........ DATE. ......... <br /> <br />PAYEE; ~f' RR, ALFRED ,,~":'6~ 18880 <br />RECEIVED BY: ~] , 'FYPB~', i, CHECK ;~: 0 <br />~* THiS IS NO~T A ~ERMIT. T, HISi'",'At~F,L, ICATION MUST' ~O THROUGB:'A'REVIEW PROCE,%?S WHERE THE <br />FOLLOWING MUo'T BE COMPLETE,D., IT/IS THE RESPONSIBILITY OF~ 'THE ~.PPL[CANT TO A~URE THA'T <br />ALL NECESSARY INFORMATION HAS BEEN, RROVIOED. <br /> <br />BALANCE DUE $0.00 <br /> <br /> <br />