Laserfiche WebLink
MARION COUNTY BUILDLNG 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 />of 8 registered builder, <br /> <br />Other. <br /> <br /> I have read and agree ~o the Iorms 8tared on the reverse side of <br /> this document, <br /> <br /> DATE: 72/19/90 'f .1;ME: 9:5'1 .'06 <br />OWNER: <br /> KNOX, MiCRAEL G ,~ LINDA L <br /> <br />SIGNATUR~ OF APPLICANT~ <br /> <br /> DATEz <br /> <br /> TAX LOT: <br /> <br />CATEGORY <br /> <br />OCCUdANCY; <br /> <br />RESiDEN'IiAL, <br /> <br /> 5~9~ PE'f'~f~ RCA0 <br />AUMSVILLE OR 9?325 <br /> <br />MAILING ACORESS; <br /> <br />SE )> ~0NTRAOT CITY: UGB: <br /> lV~R ¥ ON COUNf'Y NO <br /> <br />OCCUPANT LOAD; <br /> <br /> 2 <br /> <br />10985 JAMES WAY ORiVE <br />AUIV~VILLE 97325 <br />PHONE: 749-2155 <br /> <br />S~CTION: TOWNSHIP: <br /> 19 8~' <br /> AR~A; ,~.. : UNITS: AC <br /> <br />S['f'E NUMBER: 9588 <br />VALUATION: <br /> <br /> RANGE: ZONE: <br /> TN AR <br /> <br /> IRREG. LOT: CORNg~, <br /> YE,S <br /> <br />MAP: <br /> <br />I'YPE; ~':31LE HOlVlE PER~iT OR APPLICATION NO; <br /> <br />OD'NTRAC'f'OR, NO. (.~ERDONS <br />C'~ERDONS <br />WILCO ROAD <br />STAY'T'ON <br />PHONE: <br /> <br />fcKLIBiLE HOME BASE FEE <br />IvlOBiLE HOI~E S'IATE FEE <br />MOEIILE HOME ZONING SURCHARGE <br />FLEET SURCHARGE -ZONE 3 <br />MOBILE HOME 5'¥'A'T'E EAJRGHARGE <br /> <br /> TOTAL A,S,~ED FEES <br /> PRE¥~OUS RECEIPTS <br />~THI$ RECEIPT <br /> <br />C?UANTifY <br /> <br />AMOUNf <br /> 89.25 <br /> 15_75 <br /> $5.g5 <br /> <br />$o_ ou <br /> <br />BALANCE DUE $0.~0 <br /> <br />PAYEE: <br />RECEIVED BY: CL ..................................................................... L ....... I'YPEt <br /> <br />RECEiP'f <br />CHECK ~: 0 <br /> <br />~ THiS 18 A VALID PEI.~,IIT ~ THIS PE~:IT EXP}RE8 180BAYS FRC.~ i'r8 iSSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PER:~OOOF 1801~AY~,OR~FCON~TRUC'r~ON FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LAN~:ANDf~kRION COUNTY BUI~DINGAND ZONING ORDINANCES, THIS PERMIT <br />SHALL BE-COME NULL AND VOID. <br /> <br />SET'BACKS: FR 40 LS 10 RS 10 RR30 SP <br />REMARKS: NEW'"'MOSlLg'"HOM£ .... R~4728 ................ <br /> <br />PLANNING ACTION: P 90-2 <br />()ON.ALI) E. NOOOLEY, MARION COUN'I'Y BUILDING OFFiCiAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV. 4/90 <br /> <br /> <br />