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 <br />CODE-A-PHONE 4:30 P,M,, - 8;;00 A,,M,, <br /> <br />of a ¢e~istered builder,, <br />The work will bo performod by a registered builder <br />Other_ <br /> <br />this document <br /> <br /> 71580-190 <br />CONStRUCTiON TYPE : OCCUPANCY <br /> <br />RESIDENTIAL <br /> <br /> 12022 8ROOK~IDE DR <br /> AURORA OR 97002 <br />IU~'E OF au ED NG .... <br /> <br /> 24755 SN 65TH <br /> TUALAT~N, ORE 97062 <br /> PHONE: 638-8291 <br /> <br /> OEPT~ AREA UNITS <br /> <br /> , CONTRAC~ CITY u~g- OCCUPANT LOAD <br /> <br />MARION COUNTY NO I~o 0F ~o~oo~s <br /> <br />GRIM ESTATES <br /> <br />SITE NUMBER: ~ <br />.YALUATION: <br /> F~ANGE ZONE MAP <br /> <br /> -I~ ........ EFU 5 <br /> IRREG LOT CORNER <br /> NO N~ <br /> <br />TYPE: MECHANICAL <br /> <br />CONTRACTOR, NO. <br />V,;OLF, DENNIS <br />24755 SW SETH <br />TUALATIN, ORE 97062 <br />PHONE: 628-8291 <br /> <br />PERMIT OR APPLICATION NO: <br /> <br /> ITEM <br />GAS CONNECTION <br />FORC AIR FURN 100000 BTU OR LESS <br />DOMESTIC RANGE HOOD <br />DOM EXHST FANS & DRYER VENTS <br />MECHANICAL 8ABE FEE <br />FLEET ~URCHARGE -ZONE 5 <br />MECHANICAL STATE ~JRCHARGE <br /> <br />QUANTITY ANOUNT <br />1 $2.00 <br />1 $6.00 <br />1 $4.50 <br />4 $12.00 <br /> $10.00 <br /> $7.68 <br /> $1.73 <br /> <br />TOTAL ASSE~ED FEES <br />~HRE~IOUS RE~I P~ <br /> :IS RECEIPT <br /> <br />~42.91 <br />43.91 <br /> $0.00 <br /> <br />BALANCE DOE $0.00 <br /> <br />PAYEE+. RECEIPT NO: <br />RECEIVED BY: JB .... ~-~- TYPE: CHECK ~= <br />............... :~:"~' "L' : 12 .............. <br /> ~ THIS IS A VALID PERMIT ~ THIS PER~4~T EXPI'RES, 18~ BAYS FROM ~TS ISSUE BATE. IF <br /> CONSTRUCTION CF_A~ES FOR A PERIOD OF 180 DAYS, OR iF CONSTRUCTION FAILS TO MEET ALL RMIT <br /> REOUIPJ~TS OF ~rATE LAWS AND D%ARION [Xi~JNrTy I~JILDING AND ZONING ORDINANCES. THIS ~N~ <br /> SHALL GEODME NULL AND VOID. <br /> <br />R~D~IARKS; GA~ F'URN, EXHTS P~5626 <br /> <br />DONALD E~ ~DODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />nORM # MC 1~6 ~v ~'e? OFFICE COPY <br /> <br /> <br />