Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5t47 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I 8rn performing work or~ a property I own or O¢cudy. <br /> I am a registered builder OR t~e authorized representative <br /> of a reg'~stered builder, <br /> The work will be performed by a registered builder. <br /> Oilier ..... <br /> I have read 8nd agree te the terml stated on the reverse side of <br /> this document <br /> <br />DATE: 06/'24/92 'FiI'4E: 15:56.'40 <br /> <br />CATEGORY: <br /> <br /> ADAIR, RfCHARD 562?0-000 <br />s~TUs Ao~ss: CON$'f~UC'ttO¥ ~vPEi ~ oc, C0P^NC¥~ <br /> <br /> 9859 MILL CREEK RD SE <br /> AU~VJ LLE, OR 97325 <br /> ; ~R[~ C~NTY,r NO <br /> <br /> AGRZ C~L'[U ~ ~T~CTEU R~ <br /> <br /> RES .I, DEN] <br /> <br />OCCUPANT LOAD: <br /> <br /> NO OF BEDROOMS' <br /> <br /> PHONE: <br /> <br />LOT', <br /> <br />:WIDTH: <br /> <br /> TYPE: BU J, LDiNG <br /> <br /> CONTRACTOR, NO. <br /> ADAIR, RICHARD <br /> <br />749-2991 SiTE NUI',I~ER: 92-01511 <br /> VALUATION: $0.00 <br /> <br /> SLOCK: : SECTION; : TOWNSH{P' RANGE; I~bh~i ~AP: <br /> 3O 8S 1~ i <br /> DEPTH: AREA: UNITS: IRREG. LQT: :~R; <br /> 8. g AC ' NO; NO <br /> <br /> PER~[T OR APPLiCATiON NO: 9040854 <br /> <br />ARCHI'tEe'f/ENGiNEER, NO. <br /> <br />PHONE: 749~2991 <br /> Z'f'EN <br /> <br />PAYEE: <br /> <br />PHONE.* <br /> <br />TOTAL A,'Z'Z'Z'Z'Z'Z'Z'Z~ESSED FE~ <br />PREViOU~ <br />'fHtS RECE[P'r <br /> <br />(~ANTI'f'Y AMOUNT <br /> <br />$0+00 <br />$0.00 <br /> <br />BALANCE DUE <br /> <br /> RECEIVED BY.- CL ......................................................................................................... TYPE: CHECK ~.* O <br /> <br /> * 'flit5 ,[';3 NOT A PERFt:["['. TH~,~ APPL$CA'fiON f¢UfSl' (¢~0 THRCAJGH A REVIEH PROCE~ ~HERI~ THE <br />FOLLOWING ~5'r BE O~PLE'F~O. ['r IS 'rile RE~S~BILiTY DP' THE APPLJC~'I' TO A~RE THAT <br />ALL NEC~ARY [NFOR~AT[~ H~ BEEN P~V[DED. <br /> <br /> CITY JURI~D~C'I'ION: BY ............................. DA'I'E .................................. <br /> <br />~EP']'[C: BY .......................................... DATE ............................................. ENERGY PATH: <br />ZONING, B~, DAI'E~'~.~'fF'ZSETBACKS: FR ~ gS "'-'- RS~ RR "--- SP <br />RECC&RKS: AG--BBOG"-~EMR'FIO~,T .............................................................................................................. <br /> <br />HEIGHT: 'T'O'I'AL SQFT: 0 81'ORIES: PLAN,AC'T'I~: <br /> <br />~oa~ ¢~ uc ~s-~e .Er. ,~o OFFICE COPY <br /> <br /> <br />