Laserfiche WebLink
.4VIARION COUNTY <br /> BUILDING INSPECTION <br />Senator Building · 220 High Street NE · Second Floor * Salem, Oregon 97301-3670 <br />Office Hours: 8:00- 4:30 Phone: 588~5147 24 Hour Code-A-Phone: 588-79[H <br /> <br />0ATE: 04/25/90 TIMEr 14:25:27 <br /> <br /> RICtq'4AN, WlLLIAI4 <br /> <br />RESIDENTIAL <br /> <br /> 11595 JA~ES WAY DR <br />AUhESVILLE OR 97325 <br /> <br />SE <br /> <br />MARION OOUNTY NO <br /> <br />SITE NUMBER: 9567 <br />VALUAT ][ON; <br /> <br />225 499 <br /> <br /> 28 8S 1N AR <br />112275. SF NO NO <br /> <br />48 <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />RICKMAN, WILLIAM <br />'11555 JAMES NAY DR SE <br />AUrv~VILLE OR 97325 <br />PHONE: ?49-2430 <br /> <br /> ITEM <br />MOBILE HOME CONNECTION <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PERMIT OR APPLICATION NO: 9022518 <br /> SUPERVISING E~EcTR~cIAN/NU~ER <br /> <br />QUANTITY AMOUNT <br /> 1 $25.00 <br /> $3.84 <br /> $1.25 <br /> <br /> TOTAL ASSESS. ED FEES $30.09 <br /> PREVIOUSRECEIPTS $0,00 <br /> THIS RECEIPT $30.09 <br /> <br /> BALANCE DUE $0.00 <br /> PAYEE: RICKFCJ~ WILL~A~4~ RECEIPT NO: 24915 <br /> RECEIVED BY: cl ..~... TYPE: CK CHECK ~: 208~ <br /> <br />* THIS [S NOT A PER~IT. THIS APPLICATION MUST 6OTHROUEI-IAREVIlDH PI~OOBF:i$.htlERETHE <br />FO~LO~/ING Iv[JST BEOC~PLB'rED~ :IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />AI.I. NE~ESSARY [NFOR~IATIONHAGBEEI~I PROVIDED. <br /> <br />PLAN REVIEW: BY ..................................... DATE ......................................... <br />REMARKS: r¢~ CON, BY MENTOR <br /> <br />CITY JURISDICTION: BY <br /> <br />DATE ................................. <br /> <br /> <br />