Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 2c'S <br />220 HIGH ;~TREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; 5~8.5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />read and agree to the te~S t~iete~ on t~le Ceverse side of <br /> <br />SIGNATURE OF AppLICANT ............... <br /> DATE <br /> <br />15051 ~ARK AVP ~ <br />AURORA, OR I <br />PHQNE~ 678~2285 Si~ NU~ER: 1~052 <br /> VALUAT 1~ ~ <br /> <br />MAP <br /> <br />l YPE: Ot~-~I l E 5E~A~E <br /> <br />PkF~lll OR APPLICATION NO: $50a0 <br /> <br />CON FRAOIOR, NO. <br />I}NOOOERLY. <br />15051 PARK AVE <br />AURORA. <br /> <br />TEST HOLES ~iADY: <br />SiTE EYALOAIiON NU~JER: HiLL CALL <br />EXISTING 0P, AIN FiE'LO LINES~ <br /> <br /> irE. M <br />5ITE EYALUAIlCN, EA. ADOL. LOT <br /> <br />'TOTAL A,.~E!~EO FEE.f5 <br />PREVIOUS RECEIPTS <br />THIS R~E[PT <br /> <br />(~JANIiTY <br /> 1 <br /> <br />$150.00 <br />$~5_0~ <br /> <br /> $~_0o <br /> <br /> ~A~EE: I=NOOOERLY. rlr4OTHY ~'~ w iNVOICE NO: 38859 <br />RECEIVED BY: Cr ~~u~__f.:~_...._. .... fyPEz IN CHECK-~: O <br /> <br />SEE ATIA~ED ~M~] FOR ~IR~ENT8,OP ~-~ITE S~E S~IEM. <br /> <br />NOTE: YHis DOE~ NOT GFW~IT OR IMPLY 15EI~IIS~iON TO 8UILO (~N THIS PARCEL, P~ING AND <br />CONSTRUCTION PERPIlT~ IqJST ~E (~TAINE:D ~EFORE GUiLOIN~ OR ~'t'iC iN,~TALL~TICt~ BEi3IN~_ <br /> <br />R~"~RF,~: SE PARfJ~L I i I <br /> <br />O(_INAL0 a. WOOOLa'f, MARION C~NTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />