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 - 4:3o <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> am performing work on a property J own or occupy. <br /> I 8m a. registered builder OR ( ) the authorized representative <br /> of a r~glstered builder, <br /> The work will be performed by a registered builder. <br /> Other , , <br /> I have read and agree to the terms stated on the reverse side of <br /> <br /> DATE: ].0/07/95 TIHE: ?:50'-'57 <br /> TAX LOT; <br />[b~k[~,: SANTIAM HONES <br /> <br /> 333 ASPEN DR, -- <br /> AUMSVILLE OR 9732§ <br /> <br />:USE°~SulLm~!C~NUFACTURED STRUCTURE <br /> <br />D4TE; ......... <br /> <br />62 <br /> <br />MAILING ADDRESS: ............ i ~USDI~/I~I~'; <br /> MILL CREEK ESTATES <br /> AGENT: CRAIG LUCA$ <br /> <br />PHONE: 76~-7744 <br /> <br /> c'~'~3C~NT I AL.. <br />! OStUPANC¥~ <br /> R-;~ <br /> OCCUPANT ~GAD: <br /> <br />SiTE NUHBER: 9~-~3475 <br />VALUATION: <br /> <br />TYPE: HANUFACTURE~ STRUCTURE PERfllT OR APPLICATION NO: <br />CONTRACTOR~ NO, 38238 <br />Daniel L Carver <br />11~73 Hill Creek Rd <br />Au~sville, ~732§-0080 <br />PHONE: 769.-7744 <br /> <br /> ITEM <br />HANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MAHUFACTURED STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br /> ANCE ~UE <br />PAYEE: Daniel L Carver ~L <br />RECEIVED BY. DM2 .................. ~ ............. TYPE: IN <br /> <br />QUANTITY AMOUNT <br /> $182.00 <br /> $20.00 <br /> $9.10 <br /> <br />$211.18 <br /> $0.~0 <br />$211.10 <br /> <br />INVOICE 52894 <br />CHECK ¢: 0 <br /> <br />~ THIS IS NOT A PERHZT. THIS APPLICATION HUST GO THROUGH A REVIEW PROCESS ~HERE THE <br />FOLLOWING HUST ~E COHPLETE~. IT IS,THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY INFORHATIOfl HAS BEEN PROVIDED. <br /> <br />PLAIdNZHGPLAN REVIEw:ACTION:~ BATE ~05~--~:~_ <br /> BY_.___ ....... 9ATE ........ <br /> ZONING: BY <br /> <br /> CITY JURISBICTION: BY ........... DATE ......... <br /> REMARKS: MFG HOME <br /> <br />SETBACKS: FR 11 <br /> LS-I~ <br /> RS-15 <br /> RR-le <br /> <br />OFFICE COPY <br /> <br /> <br />