Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, ORF:GON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A,M. <br /> <br />I am perforr~ing work on a property I own or occupy. <br />l am a registered builder OR ( )theauthorizedreprosontative <br /> <br />DATE: 05/12/88 TIME: 11:02:29a <br /> FALLUER, FIF~IN <br /> <br />SIGNATURE OF APPLICANT' <br /> DATF: <br /> <br /> TA~ LOT: <br /> 804??-000 <br /> <br /> CONSTRUCTION TYPE <br /> <br /> 11123 .E~AFF RD SE <br />AUI'.4SVILLE OR 97325 <br /> <br />MARION COUNTY NO <br /> <br /> SANE <br /> <br /> PHONE: 769-5;214 <br /> <br />LOT' BLOCK: SECTION TOWNSHIP <br /> <br />W~DTIt DFRTH AREA JNITS' <br /> z~,39000 <br /> <br /> SITE NU~ER.* 4328 <br /> VALUATION: <br /> <br /> qANGE ZONE <br />9S 1N EFU <br />AC NO NO <br /> <br />QA fEGORY. <br /> RES i DENT I AL <br /> <br />OCCUPANC <br /> <br />OCCUPANT LOAD: <br /> <br />~0 OF BEDROOMS <br /> <br />MAP <br /> <br />TYPE: ELECTRICAL PEP~4IT OR APPLICATION NO: <br /> <br />82?2 <br /> <br />CON-FRACTOR, NO. <br />LICENSE NO: <br />FALLUER, FI R'C4IN <br />SAME <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br />PHONE: 769-5214 <br /> <br /> ITEM <br />SERV CHANGE ONLY-EXISTING RESIDENCE <br />ONE NEW BRANCH CIRCUIT;ALTER OR EXTEND <br />FLEET SURCHARGE -ZONE 4 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br />1 $20.00 <br />1 $15.00 <br /> $5,12 <br /> $1.75 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />¢41.87 <br /> 41.87 <br /> $0.00 <br /> <br />BALANCE 0UE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: XXX ............... ,.,,,_ ...... =_ 9YPE: CHECK ~: <br /> <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />~CTION CEASES FOr a PERIODOF 180 DAYS. OR IF CONSTRUCTION FAILS TO MEET ALL <br />REqUIRENENT$ OF STATE LAN~ AND NARIONCOJNTY BUILDING AND ZONING ORDINANCES. THIS PERMIT <br />SHALL 8ECONE NULL AND VOID. <br /> <br />REMARKS: S/C, 1CIR FOR ACC BLDG R~gg43 <br /> <br />DONALD E. NOODLEY, NARION COUNTY 8UILDING OFFICIAL / 8Y <br /> <br /> <br />