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 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> SIGNATURE OF APPLICANT: <br /> <br />I am performing work on a property I own or occupy. <br />I am a registered builder OR ( ) the authorized representative <br />of a registered builder. <br />The wo~ Will be perfOrmed by a registered builder. <br />Other <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br />DATE: <br /> <br />OWNER: <br /> <br /> DATE= <br />SITUS ADDRESS: <br /> FRAZIER, NARY <br /> <br />USEOFBUILDIN~.~3~ JAEES ~AY <br /> AUHSVILLE <br /> <br />OR ?7325 <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE: <br /> 70411~-070 <br /> <br />CONTRACT CITY: <br /> <br />UGB: <br /> <br />MARION COUNTY NO <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br />RESIDENTIAL <br /> <br />OCCUPANT LOAD: <br /> <br /> I~ eEOROOMS: <br /> <br />MAILING ADDRESS: <br /> <br />ITOWNSHIP: <br /> <br />SUBDIVISION: <br /> <br />~-~MAP: t <br />. ZU__ .L_~R _ 48 ,, _ j <br /> <br />1.3 AC <br /> <br />NO NO <br /> <br />TYPEs ON--SITESEIJtigE <br /> <br />PEI~IT OR /tPPLICRTION ~0~ <br /> <br />CONTRACTOR. NO. <br />FRAZIER. HARY <br />11'045 JAMES WAY <br />AUMSVILLE OR 97325 <br />PHONE= 749-3348 <br /> <br />WATER SUPPLY= PW <br />TEST HOLES READY= NO <br />SITE EVALUATION NUMBER= 4~263 <br /> <br />fIELD LINES= <br /> <br /> ITEM ~ 'i QUANTITY <br /> SITE EVALUATION, FIRST~ : 1 <br /> <br /> ;..', '::.', :.. <br /> ............. C~ - , ~' . ~ .... ~, - ...... <br /> <br /> NOTE= THZ5 DOES HOT GRANT OR ~HPLY PERH~SS~ON TO BUILD ON TH~S PARCEL. PLANNING <br />ONSTRUCT~ PERH~TS HU ~'~~~TZC INSTALLATION BEGINS. <br /> <br /> PLAN REV~E~: BY ~ZCT~ON: ~Y DATE <br /> REMA~S, SE ~ ~/~ ~ <br /> <br /> AMOUNT <br /> $265.00 <br /> <br /> $265.00 <br /> $0.00 <br /> $265.00 <br /> <br /> $0.00 <br />57217 <br /> <br />FORM # MC 15-5~ REV. 4/90 OFFICE COPY <br /> <br /> <br />