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 - 4:80 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy. <br />I am a registered builder OR the 8uthodzed representative <br />of a registered builder, <br />The work will be pertormed by a registered builder. <br />Other_ <br /> <br /> this document, <br /> <br /> ~)ATE~ <br />OWNER: <br /> !3ANTIAH HOMES <br /> <br /> 208 BEL, LE'VUE DR <br /> AUHSV]:t_LE OR <br /> <br />U~E OF BUILDING'. <br /> MANUFACTURED STRUCTURE <br /> <br />: MAILIN~ AOORESS; <br /> <br />A[iENT:~ CRAIG LUCAS <br />PNONE: 769-7744 <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />TAX LOT: CATEGORY: <br /> RES :[ I) Etq T I A L <br /> <br />CONSTRUCTI OCCUPANCY: <br /> <br />flI[,.L CREEK ESTATES <br /> <br /> ~ITE NUHBER: <br /> YALUATtON: <br /> <br />.LOT: BLOCK'. ¢ SECTION; <br />, 11~ 8.1., <br /> <br />RANGE; ; ZONE; , MAP: <br /> <br />TYPE: ~4AHUFACTURED STRUCTURE <br />CONTRAC';'OR~ NO. ~82~8 <br />Daniel L Carver' <br />1137~ Mili Creek Rd <br />~u.l,mvi 11 e., 97325-000~ <br />FI-lONE: 76~-7744 <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE <br />MANUFACTURED STRUCTURE <br />MANUFACTURED <br /> <br />PAYEE: <br />RECEIVED BY: <br /> <br />FEE <br /> <br />STATE SURCHARGE <br /> <br /> AHY OF <br /> PERHIT <br /> AN <br /> HEET <br />PLANNI <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br />BALANc~ DUE <br /> <br /> NF'G HONE <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> THIO IS VALID PERNIT ~$ THIS PERHIT FEE covERs ONE INSPECTION AND ONE <br />REINSPECT] ALL BLOCKIH~,STAIRINSTALLATION. ~LUttBING~ ~ECHANICAL. AN~ ELECTRICAL <br />CONNECTI£ ARE REQUIRED TO BE CONPLETEDUPONREQUE~tr FORTHE FiROT INSPECTION. ZF <br /> ITEHS ARE I:HCOHPLETE. AN ADDiTIONALINSPECTISNFEE ~ILL BE REGUZRED. <br /> VALID FOR OIXNUHTHSGNLY.':RENENEDFOR 6NONTHS UPUN ~RiTTEN REQUEST FOR <br /> PRIOR TO THE EXPiRATION;D~TEOF,,THEPERNIT. IF CONSTRUCTION FAILS TO <br /> OF STATE LAOS,:AHB::~ARIONCOUNTY BUILDING AND ZONING ORDINANCES, <br /> ACTION: <br /> SETBACKS: FR 11 <br /> LB-15 <br /> R$-1§ <br /> RR-10 <br /> SPZ <br /> <br /> ,~O $20.00 <br /> $9,, .1.0 <br /> <br />INVOICE <br />CHECK ~: 0 <br /> <br />OFFICE COPY <br /> <br /> <br />