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 RM. - 8:00 A,M, <br /> <br /> I 8~ performing work on a property I own or occupy. <br /> I am a registered guilder OR the au ho zed ep esen ave <br /> of a registered builder. <br /> The work wIl~ be pedormed by a registered builder. <br /> Other _ <br /> I have read 8nd agree to the terms ststed on the reverse side of <br /> this document. <br /> <br /> DATE: 0?/08/89 TIME.' 11:17:08a <br />OWNER: <br /> OOF-¢,N, TOM <br /> <br />SIONATURE OF APPLICANT: __.. <br /> <br /> DATE: __ <br /> <br />TAX LOT: <br /> 90061-46! <br /> <br />CONSTRUCTION TYPEI <br /> <br />CATF~GORY: <br /> <br />OCCUPANCY: <br /> <br />RESIDENTIAL. <br /> <br /> 910 QHERYL ST <br />AUMSVILLE OR 9?325 <br /> <br />USE OF BUILDING: <br /> <br />CONTRACT CITY: UOB: <br />AUMSVI LLE NO <br /> <br />OCCUPANT LOAD: <br /> <br /> NO. OF BEDROOMS: <br /> <br />PO 8OX 185 <br />SUBLIMITY OR 97385 <br />PHONE: 769-9364 <br /> <br />10 4 <br /> 79 97 <br /> <br /> 25 8S <br />7663.00 SF <br /> <br />GI LDOW II <br /> <br /> SITE NUMBER: 7771 <br /> VALUATION: <br />RANG~: ZONE: MAP. <br /> 2N P.S <br /> NO NO <br /> <br />TYPE: PLU~ING <br /> <br />CONTRACTOR, NO_ 28838 <br />T.G.NICHOL PLUIVISING, INC <br />P.O.BOX 186 <br />AUf,4SVILLE, OR 9?325 <br />PHONE; 749-2071 <br /> <br /> ITEM ,/: <br />RESIDENTIAL FIXTURE. NEW OONST. ,:?~ ' : <br />PLUMBING BASE FEE <br />FLEET SURCHARGE -ZONE 3 : , <br />PLUMBING STATE SURCHARGE ~; <br /> <br />PERMIT OR APPLICATION NO: 9017235 <br /> <br />PAYEE: TOM DORAN <br />RECEIVED BY: PB <br /> <br />* THIS IS NOT A PEI:~4IT+ <br />FOLLOWING NUST BE COf~PLBTED.] <br />ALL NECESSARY INFOF~IATION <br /> <br /> :QUANTITY AMOUNT <br />:: 6 $54,00 <br /> $20_00 <br /> : ,'~, $3_84 <br /> $3_70 <br /> <br /> $81,54 <br /> $0.00 <br /> $81.54 <br /> <br /> $0-00 <br /> ,,;INVOICE NO; 18327 <br /> ,CHECK ~: 0 <br /> <br /> PROCESS ~HERE THE <br /> APPLIC,N'4T TO ASSURE THAT <br /> <br />PLAN REVIEW: BY <br />REMARKS: 6 FIX <br /> <br />DATE <br /> <br />FORM C' MC16-66 REV. 11188 OFFICE COPY <br /> <br /> <br />