|
MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG. NO, 225
<br />220 HiGH STREET NE
<br /> SALEM, OREGON 97301
<br />
<br />of a registered builder.
<br />
<br />.A,,,:: TTM , 12!59:29?
<br />m, ,~oEY, ALAN
<br />
<br /> PHONE 588-5147
<br />CODE-A-PHONE 4;30 P,M. - 8:00 A.M.
<br /> -]
<br />
<br /> i TAX Lb'r: ! CATEGOF~¥:
<br />
<br />· .¢C, ~Oz , OR 97342 , r ~OOOUPANT LOAD,
<br /> 0~T~T j. NO ~
<br />USE OF BuILDINg: ?00~ BEOAOOMS
<br />
<br /> PH~AiE: 954-3322 I SITE NUf~ER;
<br /> VALUAT'f ON:
<br />LOT: ;BLOCK: : SECTION: i~BWN$~I~i 'j RANGE; 'j ZONE: ;MAP:
<br />
<br /> ',00 135 : 13500 0 ; SF ; NO J YES
<br />
<br />TY~E: ELECTRICAL
<br />
<br />~,,ON, r~AC'RCR, NO.
<br />LI ~ENSE NO:
<br />.~ c,~,,,, ALAN
<br />
<br />PER,lIT OR APPLiCATiON NOt 8599
<br />
<br /> SUPERViSiNG ELE~T~CIAhl/NUHBER
<br />
<br />PHONE: 854.-3322
<br />
<br />MOBILE HOME SPACE (SV¢; EOUI~)
<br />~OE3, ZLE HOME CONNECTTON
<br />FLEET SURCHARGE --ZONE ?
<br />E~-.ECTRiCAL STATE SURCHARGE
<br />
<br />TOTAL ASS~SSE0,¢EE~
<br />PREVIOUS~ECE]PTS,,
<br />7HtS RECEIPT
<br />
<br />QUANTITY
<br /> 1
<br />
<br />DONALD E. WOODLEY, MARION COUNTY BUILDzNG OF, I, cIAL / 8Y
<br />
<br />AMOUNT
<br /> $28. aC:
<br /> $20 .. 80
<br /> $8.96
<br /> 82 _ 58
<br />
<br /> $50,95
<br /> $0. OO
<br /> $50.96
<br />
<br /> $0 OS
<br />
<br />PAYEE; HUSSEY, ,ALAN , ' RECEIPT,NO: 6165
<br />~ECEIVED BY: dm ~ 2.~ ,: TYPE: C~, CHECK ~f: 994
<br />
<br />~T~CT~ C~ FOR A P~IOD, OF 180 ~. ,OR,IF~ST~CTI~ FAI~ TO ~ ALL
<br />RE~IR~S OF STAT~ ~ ~D ~Z~ O~ZN~. ~[S PE~Zr
<br />~ALL BEdE NULL ~O ~ID. %
<br />
<br />REMARKS: SERV &CONN R98257':',,,,. ',,
<br />
<br />
<br />
|