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 FhM. - 8;00 A,M, <br /> <br /> I have read and agree to the terms stated on the revorse Side of <br /> <br />DATE: 02/02/90 TINE: 14:11:17 <br /> SLITTER, RALPH <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> SATE: <br /> <br /> TAX LOT: <br /> 90040-190 <br /> <br /> 890 BTH <br />AUMSVILLE OR 97325 <br /> <br />USE OF BIJ)LDING: <br /> <br /> CONTRACT CITY: UGh: <br />AUI"I~V.I LLE NO <br /> <br />MAILINO ADDRESS: <br /> <br />PO BOX 12533 <br />Aa. LEM OR <br />PHONE: 588-28?3 <br /> <br />LO'f: BLOCK= SECTION: TOWNSHIP; <br /> 6 5 25 ~$ <br /> ?4 100 7400. SF <br /> <br />DELMAR I I I <br /> <br />SITE NUNBER: 8755 <br />VALUAT I ON: <br />RANGE: ZONE: <br /> <br /> NO NO <br /> <br />CATEGORY: <br /> RESIDENTIAL <br />OCCUPANCY: <br /> <br />OCCUPANt LOAD: <br /> <br />MAP: <br /> <br />TYPE= ELECTRICAL PEF$4IT OR APPLICATION NO: <br /> <br />21724 <br /> <br />CONTRACTORt NO. 2075 <br />LICENSE NO. <br />NORTHSIDE ELECTRIC INC <br />PO BOX 7124 <br />SALEM. OREGON 97303 <br />PHONE: 393-5559 <br /> <br />SUPERVISING ELECTRICIAN/NUmBER <br />ARLIN E. ADANSON /1479S <br /> <br /> ITEM <br />RES WIRING < 2000 SO FT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />~UANTITY A~0DNT <br /> 1 $75.00 <br /> $3.84 <br /> $3.75 <br /> <br />TOTAL ASS~ED FEES <br />PREVIOUS RECEIPTS <br />TH~$ RECEIPT <br /> <br />$82.59 <br /> $o.oo <br />$82.59 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: NORTHSIDE ELECTRIC INC RECEIPT NO: 23033 <br /> RECEIVED BY: DN TYPE: CK CHECK ~ 8016 <br /> <br /> *THIS IS A VALID PER~IT * THIS PERMIT EXPIRE~ 180 DAY~ FEC~i ITS IS,~JE DATE. IF <br />CONSTRIJCTION CEASES FOR A PERIOD OF 180 DAYS. OR IF CONSTRUCTION FAIL~ TO MEET ALL <br />~RE~ENTSOF STATE LA~ANDi~ARIONCOUNTYBUILDINGAND ZONING ORDINANCES, THiS PER~IT <br /> LL 8EC~E NULL AND VOID. <br /> <br />REMARKS: RE~ R~2654 <br /> <br />DONALD E. b~OODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />