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 performing work or~ a property I own or <br />lamacegisteredbuilderO¢~( )theautho¢izedrepresentative <br />of a registered builder, <br />The work will be performed by a re¢istered bulmer. <br />Other <br />I havo Cead and agree to the term8 stated on the reverse side <br /> <br />T0H ~X~5~r4720¢0 <br /> <br />SITUS ADORESS: <br /> <br /> A li~¢V II...LI: <br /> <br />o ~cu PA~CY: <br /> <br />OCCUPANT LOAD' <br /> <br />SUBDrWSION <br /> <br /> SZTE HUHI)ER: <br /> VAL. I.IA'r <br /> <br />$72 <br /> <br />LOT' BLOCK S E ~,,.~1~ N''' TOW~. ~ ~ ~ ~GJE <br /> <br />WIDTH: :14:t DEPT.. .7 AREA: ~:~ UNIT~;)~ Rl:~J. LOT <br /> <br />ZONE. <br /> R~ <br /> <br />CORN(F <br /> <br />CON') RACTOF~,, <br />:r;0:r. <br /> <br />:{U]I..Y)3N(; !:(IA'rE SIIIT[,I-{ARG~% ~ ' <br /> <br /> TO'C~}_ ASSESSED FEES <br /> PREVIOUS <br /> )'Fi:[ S RECEZPT <br /> <br /> ~AL ~r,lgE ~{.IF <br /> <br />(]UAN f' :[ TY <br /> <br />AHOUN f' <br /> $2149.0r4 <br /> $226,, 85 <br /> $17.45 <br /> <br />!Ii ~) ,, (:5 ~Z: <br /> <br /> {~AYF:F;;,' SCOTT,¢ FFIH ,aA ~ < , <br /> ..................................................... F,:,-.,:u..,z~..~z~.:::::.-_.zz:z:;,,:.....:.._,z_-..z:.::::,.:-zz ............. ~ Yt t.... IN LHI..f.k ~,, 8 <br />* TH~S ~S HOT A PERHZT. THIS APPLICATIO. ~'"~-?G~G~-"~""~E~EG'"'~'"'~GE~-'~ .............. <br />FOLLOWING HUST BE COHPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />LL NECESSARY INFORHATIOH HAS BEEN PROViDE~. <br /> <br />HE.Y GHT,I 2:~ Si::.'T B A C K!:h: FR <br />TO'rAL SQ F"I: 1600 LS-8 <br />PI AN., ~BTZON~ RR-" 8 <br /> <br />~M # MC 15,$6 REV, 4/90 <br /> <br /> <br />