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 P.M. - 8:00 A.M. <br /> <br />I am performing work on aproperty I own or occupy. <br /> <br />SIGNATURE OF APPLICANT; .............. <br /> <br /> DATE: <br /> <br />ow~,TE: 08/17/89 <br /> DORAN, TOM <br /> <br />TIME: 9:03:46~ <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE: <br /> <br />90040-340 <br /> <br /> 8?5 8TH ST <br />AUMSVILLE <br /> <br />OR 97325 <br /> <br />CONTRACT CITY: UGB: <br />AUMSV I LLE NO <br /> <br />O00UPANT LOAD: <br /> <br />PO BOX 185 <br />SUBLIMITY OR 97385 <br />PF!ONE: ?69-?364 <br /> <br /> DELMAR III <br /> <br /> SITE NUMBER: <br />R,,o~ALUATION:zoNE: <br /> <br />8145 <br /> <br />WIDTH: <br /> <br />DEPTH: 5 AREA: 25 UNITS: 88 IRREG LOT: 2I/~ CORNER: ~ <br /> <br /> 100 ?500.00 SF NO NO <br /> <br />RESIDENTIAL <br /> <br />NO. OF BEDROOMS: <br /> <br />MAP: <br /> <br /> 51 <br /> <br />TYPE; MECHANICAL PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 55493 <br />TOM DORAN <br />PO BOX 195 <br />SUBLIMITY 97385 <br />PHONE: ?59-?364 <br /> <br /> ITFJVl <br />DOMESTIC RANGE HOOD <br />DOM EXHST FANS & DRYER VENTS <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br /> R.A~EE: TOM DORAiN <br />...... <br /> <br />9018210 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />TH~S RECEIPT <br /> <br />BALANCE DUE <br /> <br /> INVOICE NO: <br />TYPE: IN CHECK <br /> <br />QUANTITY AMOUNT <br />I $4.50 <br />3 $9.00 <br /> $10.00 <br /> 3.84 <br /> 1,18 <br /> <br /> $28-52 <br /> $o,0o <br /> $28_52 <br /> <br /> $o.oo <br /> <br /> 19320 <br /> 0 <br /> <br />* THIS IS NOT A PER,lIT. THIS:.APP~ICATION fFLIST GO THROUGH A REVIEW PROCESS ~ERE llqE <br />FOLLOWING MUST BE COMPLETBB .... I%,,I~ THE RESF~SIBILITY OF THE APPLICANT TO A~RE THAT <br />ALL NECESSARY INFOR~4ATION HAS BEEN, PROVIDED+ <br /> <br />PLAN REVIEW; BY DATE CITY JURISDICTION: BY DATE <br />REMARKS: HD FN ~ <br /> <br />FORM tF MC 15-58 REV 11/88 OFF!CE COPY <br /> <br /> <br />