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 />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />ow~/~rE: oi/15/91 T/NE: 11 <br /> <br /> DAVI ~, JOHN <br />SITUS ~ODRFSS <br /> <br />TAX i, OT <br /> <br />CONSTRUCTION TYPE <br /> <br /> 12054 WP.~r SYAYfON RD <br /> AU~45VI LLE OR <br /> <br />USE OF BUILDING <br /> <br />9?325 <br /> <br /> CONTRACT CITY <br /> <br />f~,'IAR i ON COUN I Y <br /> <br />UGB <br /> <br />SUBDIVISION <br /> <br /> PRIIVC, RY DWELLING AI 11679 ~;::OLELLAN <br /> PHONE: 769-7449 <br /> <br />LOT SLOCK SECTION TOWNSHIP <br /> <br /> ~II'E NUI~IB ER *. <br /> VALUAT ION: <br /> RANGE <br /> <br />9S ~W <br />AC NO <br /> <br />13 <br /> UNITS <br /> <br /> 2. <br /> <br />NO <br /> <br />CATEGORY <br /> RE,Si OEN I iAL <br />OOCtlPANCY <br /> <br />OCCUPANT <br /> <br />3 <br /> <br /> 12033 <br /> <br /> EPU 62 <br />CORNER <br /> <br /> NO <br /> <br />IYPE: ON-'~I YE ~E1HAGE <br /> <br />PEk~fllI OR APPLICAFiON NO: 9029602 <br /> <br />CCH FRAC fOR, NO. <br />DAVi U~ON, JOHN <br /> <br />PRIMARY DWELLING Ai 11G79 MCCLE <br />PHONE: 769-?449 <br /> <br /> lIEN <br />REPAIR - MINOR <br />AU]HORiZAIION NO'IIC,";- PLD. ViSiT <br /> <br />BALANCE DUg <br /> <br /> QUANII'TY AMOUN] <br /> 1 $55.00 <br /> 1 $105.00 <br /> <br />TOTAL ASS~ED FEES $160,00 <br />PREVIOUS RECEiPIS $105.00 <br />THiS RECEiPt $55.00 <br /> <br /> $0.00 <br /> <br /> 31492 <br /> 1600 <br /> <br />PAYEE: DAViO2~N, JOHN .o..¢ RECEIPt NO: <br />RECEIVED <br /> /~//~ TYPE: CK CHECK <br /> <br />SEk AIIACHED OOCUMENI FOR R~IREMENTS OF ON-SIIE SEWAGE SYSIEM. <br /> <br />* THIS I$ NOT A PEI~41T. THIS APPLICATION MUST GO THRQU6H A REVIE'fH PI~X;IES~ WHERE THE <br />FOLLOHiNG iYIUST BE COf¢IPLETED. iT [$ THE RESPON~IB[LITY OF THE APPLICANT TO ~RE THAT <br />ALL NEOE:S{.%~RY INPOI~,IATiON HAS BEEN <br /> <br />RFS~tARKS: AUFH & ~iNOR REPAIR R~3108 & 3127 <br /> <br />OilY JURISDIC]ION: BY DAle <br /> <br />FORM # MC 15,~$ REV 4,,90 OFFICE COPY <br /> <br /> <br />