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 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />I am performing work on a property i own or occupy. <br />lamarogistoredbuilderOR( )theautf~orizedrepresentatlve <br />of a registered builder. <br />The work will be performed by a registerod buirder, <br />Other_ <br /> <br /> I have read and agree to the terms stated on the reverse side of <br /> <br />DATE; 07/13/88 TIME: 4:09:26o <br /> <br /> LUCAS, q~EX (ATKINS THRIFTWAY DELI J <br /> <br />213-]763 <br /> <br />RESIDENTIAL. <br /> <br /> 210 MAIN <br />AUMSVILLE OR 97325 <br /> <br /> CONTRACT CITY UGB OCCUPANT LOAD' <br />AiJIV~¥t LLE ........ NO <br /> <br />SUBDIVISION <br /> <br />PO BOX 210 <br />AUMSVILt.,.E <br />~tONE: 749-2575 <br /> <br />LOT. 5LOOK: SECT ON TOWNSHIP <br /> <br />SITE NUIV~ER: <br /> VALUATION: <br /> RANGE: <br /> <br />ZONE AP: <br /> <br />RRBG LOT CORNER <br /> hid NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />ARROW ELEC <br />1608 OAK ST SE <br />SAL, EM OR 97301 <br />PHONE: 370-9278 <br /> <br /> PERMIT OR APPLICATION NO: (~_~"~. <br />34296 SUPERVISING ELECTRICIAN/NUMDER <br /> RICH EVANS <br /> <br /> ITEM <br />C/I FEEDER 201-400 AMPS <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />QUANTI .T,Y AMOUNT <br /> ', $50.00 <br /> $3,84 <br /> $,.. 50 <br /> <br />TOTAL ASSESSEDFEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$56,34 <br /> $0- 00 <br />$56.34 <br /> <br />BALANCE DUE $0_00 <br /> <br />PAYEE: ARROW ELEC RECEIPT NO: 10390 <br />RECEIVED aY: dS TYPE:CK CHECK 7os <br /> <br />~ THIS IS A VALID PER~4IT · THIS PER,lIT EXPIRES ]80 BAYS FROf4 ITS ISSUE DATE. IF <br />CONtSTRUCTION CEA~F_~ FOR A PERIOD OF 180 DAYS, OR:IF CONSTRUCTION FAILS TO MEET ALL <br />REq£1IREMENTS OF STATE LANS AND MARION COUNTY BUILDING ANDZONING ORDINANCES. THIS PER~IT <br />SHALL BECOf,IE NULL AND VOID. <br /> <br />REMARKS: 200 AMP FOR. R~4017 ARRON <br /> <br />OONALD E. WOODLEY, MAR~ON COUNTY BLIILDING OFFICIAL /BY <br /> <br />FOR~ ,, uc ,~r~t~ r~_v ~/ar OFFICE COPY <br /> <br /> <br />