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 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />i am 8 registered builder OR ( ) the authorized represent~,tNe <br /> <br />The work will be performed by a registered builder, <br />Other. <br /> <br />~ have read and agree to the terms stated on the reverse side <br />this document <br /> <br />09/31/90 'I'IME=" 10: 14:17 <br />MI LL, ER. %. RE3~TAL HOt]SE <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE: <br /> <br /> 'u~, <br /> CITY: <br />AUMSVI LLE OR 9?325 <br /> I~ARtON ~NTY NO ' <br /> <br />MAILINO ADDRESS: <br /> <br />435 N ¢~,CY ST <br />MCI~IlNNViLLE., OR 97128 <br />PHONE*. 472-7618 <br /> <br />LOT SLOCK: SECTION; <br /> <br />SITE NUMBER: <br /> VALUATION; <br /> <br />11092 <br /> <br />WIDTH: DEPTH: <br /> <br />'/8 <br /> <br /> : AREA; 3 UN~TS'. 8S 2~I/¢'--. 8OR,AgI EFU <br />!!2i 8 !36 ! ~F ! NO <br /> <br /> RES J. BEN'T' 1AL <br />' OCCUPANCY: <br /> <br /> OCCUPANT LOAD: <br /> <br />MAP; <br /> <br />PLUMBING <br /> <br />PER~IT OR APPLICATiON NO: 9026903 <br /> <br />CONTRACTOR, NO. 54809 <br />JERRY MILLER <br />435 N NACY S'f' <br />IYC.3~iNNVILLE, OR 97128 <br />PHONE: 472-7618 <br /> <br /> Il'EM <br />RE~IDE.~TiAL FIXTURE, NB CONS'F_ <br />PLUMBING BAE~E FEE <br />FLEET SUR~IflARCE -ZONE 3 <br />PLUmiNG ~TA'f'E ~A~E <br /> <br />PREViOUSRECEiPTS <br />THISRECEIP'F <br /> <br />QUAN'¥Tf'Y Ar~OUN'F <br /> 5 $54.00 <br /> <br /> ¢3.84 <br /> 3.70 <br /> <br />$81.54 <br /> $0.00 <br />$81.54 <br /> <br /> 8ALANOE II,JE <br /> <br /> PAYEE: JERRY ~iLLER ~ RECEIP'F NO; 28458 <br /> RECEIVED BY: CL <br /> <br />* THIS IS NOT A PERrfllT. HI8 APPEICATION I~J~T GO THROUI~I-I A Rb-"VIE~ PROCESS .NHERE THE <br />EOLLOIN[NCf~[,I~T BE COIqPI_ETED.,~,[TiSTHE. R'E~I::~'k~IB[LITYOF THE APPLICANT TO A._~c,,$~RE THAT <br />AL_L NE~E~.:~ARY INI~DRI~TIONH.A~BE~EN PROVIOE~). <br /> <br />PLAN REVIEW: BY ....................................... DATE <br />RE)'CIARKi~: 6 FiX R~4OO9 <br /> <br />CiTY JURISDICTION: BY ........................... DATE <br /> <br />OFFICE COPY <br /> <br />FORM # MC 15-56 REV, 4,90 <br /> <br /> <br />