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 />performing work on a property I own or occupy, <br /> <br /> I have read and agree to the torres stated on the reverse side of <br /> this document, <br /> <br /> DATE: 10/07/93 TTME: 10:45:28 <br />OWNER: SANTIAM HOMES <br /> <br />SITUS ADDRESS; <br /> <br /> ~13 ASPEN DE -- 4 <br /> AUMSVILLE OR ~7~25 <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />TAX LOT: C~pi~N T i AL <br />: CONSTRUCTION TYPE; OCCUPANCY: <br /> <br />!uss OF eUlLSI~it~NOFACTURED STRUCTURE <br /> <br /> MILL CREEK ESTATES <br />AGENT: CRAIG LUCAS - SANTIAM HOMES <br /> SITE NUHBER: 93-~348~ <br />PHONE: 769-7744 VALUATION: <br /> <br /> 4 <br />i~i~)l'H} S4 DEPTR; l~ :AREA: <br /> <br />MAP: <br /> <br />TYPE: HAHUFACTURED STRUCTURE <br />CONI'RACTOR~ NO. 38238 <br />Daniel L Carver <br />11373 Ni],l Creek Rd <br />AuMsviile. 77~25-0~00 <br />PHONE: 7~9-7744 <br /> <br />PERMIT OR APPLICATIOH HO: 9~5~505 <br /> <br /> ITEM <br />MANUFACTURE~ STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURE~ STRUCTURE STATE FEE <br />NANUFACTURED STRUCTURE STATE SURCHARGE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $182.00 <br /> $20.08 <br /> $9.10 <br /> <br />TOTAL ASSESSED EEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$211.1~ <br /> $0.~0 <br />$211.],0 <br /> <br /> ~ BALANCE DUE . $0.00 <br />PAYEE: Del McCormick ~ ~NVOICE 52~00 <br />RE~EIVEDBY:D~2~~T~PE:~NC~E~K~:-----`--~-~---~-~~[~`~=~~-------------------- ............ ~ <br />~ THIS IS HOT A PERHIT. THi~-- APPLICATION GO 11~RoUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING HUST ~E COHPLETE~.: IT:IS THE RESPOHSI~ILITY OF THE APPLZCAHT TO ASSURE <br />THAT ALL NECESSARY INFORHRT[OH HAS ~EEHPROVZ~ED. <br /> <br />PLANNING ACTION: .~%_~,~: <br /> PLAN REVIEW: BY__~_ .... DATE lO' <br /> ZONING= BY DATE ........ <br /> <br /> CITY JURISDICTIOM: BY ......... DATE <br /> REMARKS: MFG FIOME <br /> <br />SETBACKS: FR 11 <br /> LS"15 <br /> ES-15 <br /> RR-10 <br /> <br />OFFICE COPY <br /> <br /> <br />