Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />02t07/9~ <br /> <br />KLEIN, LARRY <br /> <br /> PHONE: 588-5147 8:00 :'4:30 . <br /> 24. HOUR CODE-A-PHONE: 588-7904 · /,-"~ . <br /> <br />I am a recgisiered builder OR ) the authorized representative SIGNATURE OF A~RLIGANT; .~,~.~ .......... ~' ~ ~ <br /> <br /> 9804. MILL CREEK RD SE <br />AUCcf~V i LLE OR 9?325 <br /> <br />USE OF BUILDING: <br /> <br /> PHONE: 749-2405 <br />LOT: ',BLOCK: §E¢~io~: TOWNSHIP: <br /> <br />WIDTH: 'DEPTH: ' AREA UNITS: <br /> ~. 3. AC <br /> <br /> RES.[ BEN'~ iAL <br /> <br />CONTRACT CITY: UGh: <br />r',qARiON COUNI'Y : NO I <br /> <br /> F'LOODPLA~ N <br /> <br /> SiTE NU~ER: 5084 <br /> VALUAT <br /> <br /> NO NO <br /> <br />'fYPE.* ELEC'f'RiCAL PERMt'f' OR APPL,[CA'f'iON NO: <br /> <br />28689 <br /> <br />C(]NTRAC'T'OR, NO- <br />LICENSE NO; <br />JACK% ELECI'RJC <br />10764 M~LL CREEK RD <br />AUC4SWLLE 9?325 <br />PHONE: 749~2971 <br /> <br />~UPERVI$ING ELEC'T'RiCiAN/NUMSER <br />JOHN A. SPEER/1099S <br /> <br /> ITEM <br />~ERVZCE/F'EEDER 101 TO 400 ANP~ <br />ELECTRJCAL STATE f~JRCHARGE <br /> <br />QUANFITY AIV~NT <br /> 1 $60.00 <br /> $3.00 <br /> <br />'f'O'FAL ASSE~EO FEES <br />PREVIOUS R~EIP'f$ <br />'f'H1~ RECEIPT <br /> <br />65.00 <br />$0.90 <br /> <br />BALANCE C~E $0.00 <br /> <br /> PAYEE: RECEIPT NO: <br /> RECEIVED ~Y: PB TYPE; CHECK ~ 0 <br /> <br />~ THIS [$A VALiD PERi'lIT ~ TH[SPEI:~'~11T EXPZRES 180 DAYS FROf~I 1T$ ZSSUE DATE. <br />~8T~CTI~ C~ ~R A PERIOD OF 180 DA~, OR ZF ~ST~CT[~ FAi~ TO ~EET ALL <br />R~iR~T5 OF STATE ~ ~D ~RI~ ~NTY BUILDiN6 ~D Z~I~ ~DIN~C~. TH~S <br />~ALL B~E NULL ~O <br /> <br />REMARhLS: 400 A~P SERV ON SHOP RAf4589 <br />0ONALD E. WOOOLEY, MARION COiJN'f'Y BUILDING OFFiCiAL / BY ........ L¢~ ................................................................... <br /> <br />FOR~I ~ ~C ~-~e n~v. 4/~)o OFFICE COPY <br /> <br /> <br />