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 sm performing work on a property I own or occupy· <br /> lamarooisteredbudderOR( } the authorized representative <br /> of a registered budder, <br /> The work wdl be performed by a registered buflder. <br /> Other.__ <br /> I have read and agree to the terms stated on the reverse side of <br /> this document <br /> <br /> OATE: 01/29/92 . <br />OWNER: <br /> SAN'f' I AlVl H OlVlES <br /> <br />SITLI$ ADDRESS' <br /> <br />SIGNATURE OF APPLICANT; <br /> <br /> DATE[ <br /> <br />TA'/ LOT. <br /> <br />CONSTRUCTION TYPE <br /> <br /> 135 8PR1JCE CT <br />AUI~SVI LLE OR 9?325 <br /> <br />USE OF BUILDING: <br /> <br />22 3ONTRACT CITY <br /> <br /> AUM~VILLE <br /> <br />RE$i DIgNT iAL ACC.~RY S'f k~C'ftU~ES <br /> <br />5'i?OfS~O00 <br /> <br />5~N <br /> <br /> NO <br /> <br />CATEGORY: <br /> RESi DEN'] iAL <br /> <br />OCCUPANCY: <br /> <br /> f~l-1 <br />OCCUPANT LOAD: <br /> <br />EVERGREEN ICE)BILE PARK <br /> <br />PHONE: <br /> <br />LOT: 'BLOCK· SECTION TOWNSHIP <br /> 22 25 <br />WIDTN: DEPTH AREA: UNITSZ <br />65 92 <br /> <br /> .~i'l'E NUMBER: 92-00454 <br /> VALUATION: $3, <br /> <br />85 2W R~ <br /> RREG. LO7 CORNER <br />BP YE~ NO <br /> <br />TYPE: BUILDING PERf41'¥ OR APPLICATION NO: <br /> <br />28022 <br /> <br />CONTRACTOR, NO. 38238 <br />Banie'] L Carver <br />11373 ~t"l"l C~eek Rd <br />Aurr~vi'l"le, 97~25~0000 <br />PHONE: <br /> <br />ARCHiTECT/ENGiNEER, NO. <br />PHONE: <br /> <br />BUiLDiNG FEE <br />PL¢~ R~¥1EW <br />BUILDING STATE SURCHARGE <br /> <br />f~ANTi'I'Y <br /> <br />'ro'f'ALAf.~.S~ED FEE~ <br />PREVIOUS RECEIPTS <br />THi~ RECEIPT <br /> <br />Af~qOUN'T' <br /> $44.50 <br /> $28.93 <br /> $2.23 <br /> <br />$75,88 <br />$?5.86 <br /> $0.00 <br /> <br /> BALANCE L,~JE $0.00 <br /> <br /> PAYE~: <br /> RECEIVED BY: L~ TYPE: CHECK ~: 0 <br /> <br />* l'Hi5 15 A VALID PE¢~II' ~ THIS PEI:~IlT E~PiRDI~ 180 I;:~,Y$ FRO¢4 ITS I~E DATE. iP <br />~S'f'~C'f'l~ C~ FOR A PER]OB OF ~80 DAY~, OR ~P ~S:f~CT~ FAILS TO ~EE'f' ALL <br />RE~iRE~EN'f'~ OF STATE ~ ~D ~RION C~N'fY BUILDING ~D: Z~JNG ORDIN~CES, I'HiS PE~iT <br />~ALL BEC~E NULL ~D VOJD. <br /> <br />SEI'BACF~: FR 10 L5 10 R:~ 10 RR 10 SP <br />REMARKS: CARF'.'K)R'f ................ <br /> <br />HEIGHf': 11 'f'O'I'AL SO F'I': 312 STORIES: 1 <br /> <br />DOCIALO E. ~DLEY, ~Ri~ ~NTY BUiLDiNG OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MO 15-,56 REV, 4v't~ <br /> <br /> <br />