|
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 />I am a registered builder OR ( ) the authorized representative
<br />0 a reg s e ed bu Ider.
<br />The work will be performed by a registered bui der,
<br />Other .....
<br />
<br />DATE:
<br />
<br /> BA(;HRAH'.£AN.~ [;O[]RIKN , 72825-051
<br />ADDRESS: 1! CONSTRUCTION TYPE;
<br />
<br /> '74~)2 LOFTY LOOF' SE CONTRACT CITY:
<br /> AU~,:W1LI,,.E OR 973_~ ~ H~RZON COUNTY
<br />
<br /> ,~TRUCTQk[~S
<br /> RESIDENTICL ~GCESSORY ~ ~ ' '"'"
<br /> ~' auemws~oN:
<br />
<br /> , IA~ ~ L. 0FTY LEA
<br /> 772~ 65TN AVE V V~~ ~ ..............................................................
<br />
<br />i :I, : 2 :[5 8S , ?W ~ AR 49
<br />
<br />TYPE: BUILBING
<br />
<br />CON'¥RACTOR, NO,. 67318
<br />RJ, c~ Ruc:i, shauser
<br />5458 Dm,~ore Dr
<br />
<br />F 1-10I,lif: 585 - 2664
<br />
<br />PERMIT OR APPLICATION NO: ~51256
<br /> ARCNITECT/ENCINE;EI% NO,.
<br />
<br /> ITEM
<br />BUILDING FlEE
<br />PLAI,I I:~l.:.' ¥ I. E W
<br />BUILI)ING STATE SURCHARGE
<br />ZONt'NG SURCHARGE
<br />
<br />PHONE:
<br />
<br /> QUANTITY AMOUNT
<br /> ¢74, 50
<br /> $48,, 43
<br /> $3.7S
<br />
<br />TOTAL ASSESSED FEES $130.
<br />PREVIOU,S RECEIPTS $0,. 00
<br />~ I':HI~: $:1.38,. 39
<br />
<br /> PAYEE: RLck Rudi~a~,me¥,,'~ ,, 53675
<br /> RE. CEIVLf) BY, HB_,_~_~,.~....~;.~,__~_~:===_ ....... ~ .... 1YFE. CK (,,II(,,CK
<br /> * THIS IS NOT A CERHIT,, THIS APPE[CAI:IOH,HUS~ ~0 THROUGH: A REVIEU PROCESS WHERE THE
<br />FDLLO~IN6 HUST ~E COHPLETE~.:: I:T IS THE,' RESPONSI'gILITY OF THE APPLI6~flT T~
<br />
<br />72~
<br />
<br />LL NECESSARY IHFORNATIOH HAS:BEEN PRO¥'r]~EI), ,:
<br />
<br /> ZONIN~ BY JJ~'_., ......... TOTAL SQ
<br />
<br /> PLAN. ACTION:
<br /> CITY JUR',[SDICTION: BY .... =z ..... DA'fE_=,_==_~::_ ENERGY PATH:
<br />
<br />REMARKS: GARAGE
<br />
<br />~o~ # MC ~ S4S ~,'. ,~ 0 F FIC E COPY
<br />
<br />
<br />
|