Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE, <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5t 47 $:00 - 4:30 <br />24 HOUR CODE-A-PHONE: ,588-7904, <br /> <br />of a registered builder, <br />The work will be dedormed by a registered builder. <br /> <br />~[~O~EA~[ ...............; CONSTrUCT/ON TYPE:: OCCUPANCY: <br /> <br /> ~UH,~,L_LE. OR97,~..,.. ~ H~R:[ON COUNTY NO <br />' ~ }'~60~'~'~Aod~:, <br />~, RtES~DENT][AL ACCk. S=Ok.. STRUCTURES , <br /> : SU ~DIVISION; <br /> <br /> ;,l'q .... <br /> m.,. ~E_gST.~ZES <br />{ ,JJ,~,l} ~tJBURN RD NE <br /> SALEH SITE NUMBER: <br /> <br /> , <br /> <br />CON'fRACTSR.~ NO.. <br /> <br /> AUBURN RD FIE <br />~Ak.E~ <br /> <br /> .T, TEH <br />BU;~L, DING FEE <br />PLAN REVIEW <br />BIJ;[LPIN(; STATE SURCHARI;E <br />ZONTNG S U F~ C HA F,',I; E <br /> <br />PAYFE= <br /> <br /> ?~)47725 <br /> <br />A R C H"cI' E C T / E NG I t,) E f.-"_ R ,~ NO,, <br /> <br />PHONE: <br /> <br />QUAN'rlTY <br /> <br />TOTAL A$SESSE9 FLEES <br />I Rt:.ViOU$ RECEIPTS <br />THIS REfSE].F T <br />BALANCEDdE' <br /> <br />$56.50 <br />$36.73 <br /> <br /> $2.85 <br /> <br />~:98,, 89 <br /> $0.00 <br /> $0.00 <br /> <br />$98. ,9,9 <br /> <br /> RECI=,f, VED BY; Ct ................................................................ ..,. TYPE. CHECk :1~:; 0 <br /> <br /> * THIS I8 NOT A PERMIT. THIS APP[,,IOATION MU~T <br />FOLLOWING MUST BE COMPLETED. IT IS THE REBPQNSIBILITY OF THE APPEZBANT ~O'"A~BO~ ~T <br /> LL ~EOESSARY INFORMATION HA8 BEEN P~OVIDED. <br /> <br />ZON]:NG= BY .¢~-~"'; ..................... DA'lhE'-'7~'~;F'~.~2.~'~.¢ TOTAL SQ <br />sm:,'rzc: ::::::::::::::::::::::: <br /> PLAN,, ACTi:ON~ <br />CITY ,JURISDICTlON~ BY ...................... DATE ........................... E~ERGY pATH: <br /> <br />REHARES: RI:S/ACC gARAgE (BAL DUE) SO DUS~Y IN CONFUolON FORGOI" <br /> <br />SETBACKS: F'R '~- <br /> ~,,.S .......... <br /> RS'-"~:-" <br /> R R--' ::::' <br /> s P :::: Z :::: <br /> <br />FORM # MC 15-~ REV. 4#Jo OF FICE COPY <br /> <br /> <br />