|
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 />of a registered builder,
<br />The work will be perlormed by a registered builder,
<br />Other,
<br />
<br />i have read and agree to the terms stated on the reverse ~ide of
<br />this document,
<br />
<br />SUBDIVISION:
<br />
<br /> SITE NUNBER~ 93-e2173
<br /> PHONE." '969-22~4 VALUATION:
<br />~=OT; SLOCK~ SECTION; RANGE; ZONE'. MAP;
<br />
<br />TYPE= HANUFACTURE:~ STRUCTURE
<br />t:~ONTRAC, TOR, NO,,
<br />,]PI NHAVER, MARIA
<br />~iAME
<br />
<br />PERMIT QR APPLICATION NO:
<br />
<br />PHONE:
<br />
<br />PAYEE;
<br />
<br />TOTAL 'A~SESSE)} FEES
<br />PRE¥,I OI~S' RECEIPTS
<br />'THIS RECEI, F'T
<br />
<br />~rALANCE I)UE
<br />
<br />47?67
<br />
<br />I;!UANTITY AMOUNT
<br /> $15~ 00
<br /> $25.00
<br />
<br /> $40.00
<br /> $40~ 00
<br /> $0.80
<br />
<br /> $0.00
<br />
<br />RECEIPT
<br />CNECK :B: ~
<br />
<br /> RECEIVE:D ItYII Cl.. TYPE:
<br /> ~ THiS IS A VALID PERM,I,T ~ THIS PERNIT FEE ~0VE
<br /> REINSPECTION. ALL BLOCKING, STA'R INSTALLATI: N. ~[~.U~I~'N~, ~[~N~C~. ~ ELECTRICAL
<br /> CONNECTIONS ARE REQUIRED TO BE COi"iPLETED UPON REQUEST FOR, THE FIRST INSPECTION. IF
<br /> PERNIT IS VALID FOR SIX ~M~THB'?OHE~ ,:,,,B~E~' [ORj',~;'t~8~B ~POH WRITTEN REQUEST FOR
<br /> AN EXTENSION. PRIOR TO ~HE~E~A~[BNCD~TE ~ THE~HIT~,. IF CONSTRUCTION FAILS TO
<br /> MEET ALL EEQUIREHENTS DF. STA~E',LA~S' AN~ '~AE[O -,COU~TY~¢~UILDING AND ZONING ORDINANCES,
<br /> PLANNING A[,TION: ,' , ,,' ......
<br /> ~ ..... "~"' ?"~'~ ~..~ ' ,'~ SETBACKS: F'R
<br /> ~,,,~ ,, ~, , ~ . ,. ,,,, LS ...............
<br />
<br /> , ', ,,, ~',. .... :,. , ,'~,~/- ~'.'~, ,~,:' '~, -, . ',~ R~ .............
<br /> SP
<br /> REHARKS: H[',~,,,E HONE .S'TO~(~E PERMIT .~ NO UTI, L~TES OR BLOCKING ~ 6 MO STORAG[C-['~MITA't']']q
<br /> AI:F'EOVE9 FO~ STORAGE ONE;Y ON JEHPORA[~Y ~ASIS. : " ' '
<br /> ~ONALQ E., WOODLEY, ~AE!ON C~JNTY BU~ .DING OFF'ICIAL. / BY .... ~ ...............................................................
<br />
<br />ron~ ~ ~c ~-~s ~, ~ OFFICE COPY
<br />
<br />
<br />
|