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:S0 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />, am gerformln9 work on a property I own or occupy, <br />I am a registered builder OR ( ) the 8uthorized repres~ntAt/9e SIGNATURE OF APPLICANT:. <br />of 8 registered builder. <br /> <br />I have remd and agree to the terms stated on the reverse side of DATE: <br />this document, <br /> <br />OWNER: DATE: 02/18/9S tIHE: t2:4S:SE TA×LOT; C^TEGOR~ <br /> GARDNER STEYEN & CAR[.,~ RE~iD~ZN'I'Z~L <br /> <br /> 8764 SM~I~ SQUARE RD SE OONTRAOTCtT¥ UGB OCCUPANT LOAD <br /> <br /> AUMSVTLLE OR 97525 ~R!ON COUNI'¥ NO <br /> <br />USE OF BUILDING. NO OE <br />MAILING ADORESS' SUBDIVISION <br /> <br /> S~HE <br /> STTE NUMBER: 9;$-00630 <br /> PRONE; 749,-2452 VALUA'rZor4: <br /> <br />WIDTH DEPTH AREA:24 UNITS; ~S ~R~t~T OD R'~ ~[~~ <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: <br /> <br />45405 <br /> <br />CONTRACTOR, NO,, <br />LICENSE NO: <br />GARDNER, STEVEN & CARLA <br />SAME <br /> <br />SUPERVISING ELECTR I C I ¢~M/MUHri!IER <br /> <br />PHONE: 749-24.52 <br /> <br /> ITEM <br />SERVICE/FEEDER LESS THAN 200 AMPS <br />SRANCt"I CIRCUIT~ WITH SERVICE OR FEEDER <br />ELECTRICAL STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIRI'S <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />(D U,~ N 1' I 'FY <br /> l <br /> 10 <br /> <br />PAYEE: GARDNER, S.T~E'C~& CARL.~ ~ECEIP"F NO: 475E!: <br />RECEIVEO BY: M8 ~_~[~,~, ~ _ TYPE CA C'ECK ' <br /> <br />* THIS I8 A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF I80 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY 8UILDINB AND ZONING ORDINANCES, THIS PERMIT <br />SMALL BECOME NULL AND VOID. <br /> <br />~EMARKo: 200AH!:)SER AND IO/CIR <br /> <br />DONALD E. WOODLEY¢ MARION COUhfTY BUILDING OFFICIAL <br /> <br /> OFFICE COPY <br />FORM # MC I5,56 R~, 4/90 <br /> <br /> <br />