Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />'220 Hi,CH STREET NE <br /> SALEM%DREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />I am performinfj work on a property I own er occupy <br />I am a re?st,~red builder OR the authorized representative <br /> <br />this document. <br /> <br />o~-.E: 0?/0?'/88 TIME., tl .~08:58a <br /> BEILSTEIN, JOHN <br /> <br /> 8763 SHAM SQUARE RD SE <br /> AUNSVI LL.E <br /> <br /> i TAX LOT; ............. :CATEGORY: <br /> ~ RES I DENTtAL. <br /> <br />OR 9?325 ~ $ <br /> i,,1AR I ON. OOUN¥¥ NO ; ...... <br /> <br /> SA~E <br /> <br /> PHONE: 585-6966 <br /> <br />LOT: BLOCK: <br /> <br /> STTE NUMBER: 4851 <br /> VALUA, T,~ON ,~ .................. <br /> <br /> i ! · AR5 49 <br />a.~oooo AC NO i NO <br /> <br />TYPE= ELECTRICAL PERMIT OR APPLICATION NOt 80095?5 <br /> <br />CONTRACTOR, NO. 19866 SUPERVISING ELECTRICIAN/NUMBER <br />LICENSE NO: 2015S TERRY HARRINGTON <br />CODE ELECTRIC, INC. <br />2717 22ND ST SE <br />SALEM, OR 9?302 <br />PHONE: 581~8684 <br /> <br /> ~TEM QUANTITY AMOUNT <br />SERV CHANGE ONLY~EXISTING RESIDENCE 1 $20.00 <br />TWO OR MORE NEW CZRCUITS~ALT OR EXT 1 $20.00 <br />FLEET SURCHARGE ~ZONE 2 $2.56 <br />ELECTRICAL. STATE SURCHARGE $2.00 <br /> <br /> TO~AL ASSESSEDFEES $44.56 <br /> ~REVIOUS:RECE~PTS $0.00 <br /> TH~S RECEIP~ ~ $44..~8 <br /> <br />PAYEE: JON BEILSTEIN /~',~_~ TY'~ <br /> NO~ <br /> 102~5 <br />RECEIVED BY; )O(X <br /> ~K CHECK ~: 4501 <br />* THIS IS NOT A PERMIT. THIS APPLICATION MUST :GO THROU(!~I:A REVIEW PROOF. SS INHERE 'file <br />FOLLOWING NLIST BE COMPLETED. IT IS THE RESPONS~B[:EITY 'OF THE APPLICANT TO ~E THAT <br />ALL NECESSARY INFOF~¢ATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY .......... DATE CITY'JURZSDICZiON: BY ........ DATE <br />REMARKS: SERV CHGE/2CIR R~7927 <br /> <br />FORM "Mi: 1G-5~ ~V ~m~ OFFICE COPY <br /> <br /> <br />