Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97'301 <br /> <br /> PHONE;: 588-5147 8,00 - 4:30 <br />24 HOUR CODE-A-PHONE' 588-7904 <br /> <br />have read arid agree to the terms stated on tho reverse side of <br /> <br /> DA TP.,: 09/10/91 <br />:OWNER C..,¢.)x. DOUGLAS <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />! TAX LOT <br /> <br />~ CON~TRDCTION TYPE <br /> <br />AUIv15V ILLE OR 9?325 ~ ~U~VJ LLE <br /> <br />RPS£DE,N[iAL AC,'CE~RY 51-RU. Ct'UR.~ <br /> <br />57 <br /> <br />5-N <br /> <br /> NO ~' <br /> <br />]1373 MILL CR~K RD ~ <br />AUfc~VILLE UR 9732b <br />P~ON E: <br /> <br />LOT i BLOCK SECTION TOWNSHIP <br /> 21 25 85 <br />WIDTH 58;DEPTI't 88 'AREA UNITS <br /> <br /> RES1Dg~T iAL <br /> <br />LOAD <br /> <br />EVERGREEN E51A l E5 <br /> <br /> 1401'1 <br /> $1,200.00 <br /> <br />YES CORNE~o <br /> <br />5i]E NUM~bR: <br /> VALUA r i ON: <br /> <br /> 2N <br /> <br />TYP~:: BUiLDiNG PERNIF OR APPL,ICAFiON NO: <br /> <br />(JON l RACTOR. NO. <br />BOX, DOUGLAS <br />Il3!] MiLL ORk~K RD bE <br />AUto, VI LLE OR 97325 <br /> <br /> ~ f~ <br />BU ~ L~NG FEE <br />P~ REV1E~ <br />~UiLDiNG 5fAl~ ~A~E <br /> <br /> 9035041 <br />ARCHITeCT/ENGiNEeR, NO, <br /> <br />IOfAL A3~S~ED FEE5 <br />PRb~/IOUS RgCEIPI$ <br />THiS RECEIPT <br /> <br />L)UAN [ I l Y <br /> <br />AMOUNT <br /> <br /> $1_03 <br /> <br />$34.85 <br /> SJ,OO <br /> <br />BALANCE L~J6 $0.00 <br /> <br /> PAYE~: DOX, D(IIGLAS ~.~ 36938 <br /> RgCEiVE0 gY: PB ~..-~'.. TYPEt tN CHECK ~: 0 <br /> <br />~ lHl5 ~5 NOl A P~iT. lHIS APPLiCATI~ ~8~ ~ TH~ A RbViEW PI~E'~ ~ERE fHB <br />FOLL~iNG ~ST BE ~PLEJ~D. IT iS THE R~SIBiLi~Y OF THO APPLiC~N~ ~'0 ~R~ IHA, f <br />ALL NECE~ARY INFO~Ti~ H~ Bg~ P~ViO~D. <br /> <br />SEP'TiC: BY ................. DArE ................... <br /> <br />~ONING: BY 0AlE SETBACKS; <br />R~Jvb"~RK5: CARPOR~ <br /> <br />OIlY JURISQiCIlON; BY DAlE <br /> <br />PR,,IO LS 10 ~ 10 RR 10 5P <br /> <br />5TORiWS: 1 PLAN.ACflON: <br /> <br /> <br />