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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 PM - 8::00 A,M <br /> <br />I am performing work On r~ property i owh or occup, <br />I ,~f~ ~ regFstered builder OR the ~uthonzed representatwe SIGNATURE OF APPLICANT <br /> <br />07/18/89 TIME: 2:08:31p TAX LOT CATEGORY <br />SHOOK, DONALB <br /> <br />RESIDENTIAL <br /> <br />802? BUffS)RE DR SE CONTRACT CITY UG8 <br />AUNSVI LLE OR 97325 <br />uss oF mU,LO,NO ~ARION COUNTY NO <br /> <br /> CASCADE PARK <br /> SA~E <br /> <br /> PHONE: SITE NUttiER: 1399 <br />LOT BLOCK SECTION TOWNSHIP ~ANG)!/AL'UATION: ZON~ <br /> <br />82.6 <br /> <br />3.00000 AC NO NO <br /> <br />¢r _ <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />SHOOK, DONALD <br />SANE <br /> <br />PHONE: <br /> <br />PEF~IT OR APPLICATION NO: 17474 <br /> <br /> SUPERVISING ELECTRICIAN/NUI'4BER <br /> <br /> ITEN <br />C/I FEEDER TO 100 ANPS <br />FLEET SCRCHARGE -ZONE 2 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: SHOOK, DONALD <br />RECEZVED BY: PR <br /> <br />QUANTITY A~QDUNT <br /> 1 $25.00 <br /> $2.56 <br /> $1.25 <br /> <br />TOTAL A,~SES,SED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$28.81 <br /> $o.oo <br />$28.81 <br /> <br />8AL.~NCE DUE $0.90 <br /> <br />RECEIPT NO: 18578 <br />TYPE~ CK CHECK ~;: 890 <br /> <br />* THIS I$ A VALID PERMIT · II4ISPF_B~IT EXPIRES 1,80 DAY8 FROMITS ISSUE DATE. IF <br />RC~oSTRUCTION CEASES FOR A PERIOD OFlS0DAY~; OR IF CONSTRUCTION FAILS TO MEET ALL <br /> .,.iON O Nty BOILDIN mD zON . ORDIN OES, TH S <br /> <br />RENARKS: FEEDER 100 A~4P R~t2091 ~A <br />DONALD E. NOODLEY, ~.RION COUNTY BUILDING OFFICIAL / BY~~___~ .......... <br /> <br />~-or~M ,~ ~c fsi6 RE~ l~,e8 O~'FICE COPY <br /> <br /> <br />