Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />t am performing work on a property I owr~ or ocoupy. <br />l am a registered builder OR ( )theauthorizedrep~esentatlve <br />of a registered builder. <br />Tl~e work will be performed by a registered builder. <br />Other <br /> <br /> DATE= 09/28/90 'l'~ME; 15:39:49 <br />OWNER: <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> SIGNATURE OF APPt ICANT: <br /> CATE: <br /> <br />75060-090 <br /> <br />CATEOOHY: <br /> <br />RE'~I DEl',/l' iAL <br /> <br /> 7731 TERRANCE LANE <br />AUMSVI LLE OR 97:325 <br /> <br />CONTRACT CITY; UGB'. <br />MARION COUNTY NO <br /> <br />OCCUPANT LOAD. <br /> <br /> NO OF 0EDR00MS <br /> <br />2130 COLE RD S <br />.~ALEIVl OR 9'1306 <br />PHONE*. 370-9107 <br /> <br />LOT: BLOCK: SECTION: TOWNSHIP: <br /> <br />WID'I H: DEPTN: AREA: tJ N~TS' <br /> 137 2,34 32058. <br /> <br />SUBDIVISION; <br /> <br />'l' ERRANCE !igJB D i V I E,I F.J~[ <br /> <br /> SiTE NU~ER: 8645 <br /> VALUAT ! m: <br /> <br />8~ 2W AR <br />~F NO NO <br /> <br />MAP: <br /> <br /> 51 <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />RU~ELL, WlLBURN <br />2130 COLE RD '~ <br />L3AL~M OR 97306 <br />~ONE: 370-9107 <br /> <br />PERMIT OR APPLICATION NO: 27519 <br /> <br /> rSUPERViSiNG ELEC'rRiCIAN/NU~ER <br /> <br /> ITEM <br />SERViCE/FEEDER lO1 i'D 400 AMPS <br />FLEET ,SURC-14ARGE -ZONE 3 <br />ELECTRICAL 8'fAl'E SURCHARGE <br /> <br />PAYEE: RU~ELL, WII,.,BURN <br /> <br />TOTAL A:"""~'~,~ED FEES <br />PR6W i OU'~ RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br /> ~3.84 <br /> 3.00 <br /> <br />$86.84 <br /> $o.oo <br />$~.84 <br /> <br />BALANCE DiJE $0.00 <br /> <br />RECEIPT NO: 29200 <br /> <br /> RECE[VED DY-- GL TYPE: CK CHEqC:K ~: t364 <br />~< 'I'HI8 iS A VALID PEf~JVl[f * THiS PERMIT EXP.[RE~ 180 DAY~ FRO~ ITS I~2'2'2'2'2'2'2'2'2~UE DATE+ IF <br />CONSTRUCTION CEA~E~ FOR A PERIOD OF 180 DAY-~, OR iF CON~TRUCTION FAIL~ TO MEET ALL <br />REQUIREMENTS OF STATE ~ AND i~.%.R.I[ON COUNTY BUILDINB AND ZONING ORDINANCES, THIS PERMIT <br />· ~IALL BEO3ME NULL AND VOID. <br /> <br />REMARKS: 200-AMP SERV FOR SEPTIC, WELL ONLY R~ t~ <br />DONALD E. WOOOLEY, IV[ARION OC~JNTY BUILDING OFFICIAL. / BY .......................... ~ ........................................................ <br /> <br />THE MARION COUNTY PLANNING DIVISION WILL APEROVE THIS ELECTRICAL CONNECTION <br />FOR NON RESIDENTIAL USE ONLY. NO HOOK UP ~'OR A DWELLING OR RV pER~II'I'~$ED--- <br /> <br /> OFFICE COPY <br />FOFIM # MC 15-56 REV. 4/90 <br /> <br /> <br />