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 />of ~z registered builder. <br />The work will be performed by a registered builder, <br />Other <br /> <br />SIGNATURE OF APPLICANT: <br /> gATE: <br /> <br />OWNER: OATE:,' 0~/.1.8, 93 <br /> (ARCIA BARBARA <br /> <br />TINE: t4:45;57 <br /> <br />TAX LOT: <br /> <br /> 56085-0092 <br />CONSTRUCTION TYRG; <br /> <br /> 8AHE <br /> PNONE; B85,,, 7678 <br />LOT~ GLOOK; SECTION~ TOWNSHIP; <br /> <br /> SITE NUMBER: 95-00560 <br /> VALUATION; <br /> <br />RANGE: ZONE; <br /> <br />WIDTH: <br /> <br />DEPTH: A~EA:]'s UNrTS: BS IRRE~?~_OTi CORNL~FU <br /> <br />CATEGORY: <br /> <br /> R E B ]: O E N'T l ,/..'~L <br />OCCUPANCY: <br /> <br />OCCUPANT LOAD~ <br /> <br /> NO OF BEDROOMS <br /> <br />MAP: <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO: 45299 <br /> <br />CONTRACTOR~ NO. <br />LICENSE NO: <br />GARCIA BARBARA <br />SAME <br /> <br />SUPERVISING ELECTRiCIAN/NIJHBER <br /> <br />PHONE: 585-'7678 <br /> <br /> ITEM <br />BRANCl4 CIRCUIt, WITHDUT SERVICE OR FEEDER -, iST CIRCUIT <br />ELECI'RICAL ST'A1B SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 1. $5 ti, ,, 00 <br /> $ I. _ 7 '} <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />TltlS RECEIPT <br /> <br />$56.75 <br />$ 56 ,. 75 <br /> $ 0 _ 00 <br /> <br />BALANCE DUE SA.DO <br /> <br />PAYEE; RECEIPT NO:: <br />ECE[VED BY: lab TYPE: CHECK fl_' D <br /> <br />* THIS IS A VALID PERMIT * THiS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE_ IF <br />CONSTRUCTION ~EASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT' <br />SHALL BECOME NULL AND VOIO. <br /> <br />kF:NARK,:/ E'XI'END T CIR <br /> <br />OANAI,B ,:,, N~.O[X..EY~ MARION COUNTY BUILSING OFFICIAL / BY ............................................................F,, <br /> <br />FORM # MC f~-~E REV, 4/~0 OFFICE COPY <br /> <br /> <br />