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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br />,GALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A,M, <br /> <br /> Other <br /> <br />DATE: 09/10/87 TIME: 12:15~41o <br /> <br /> PULI_HART, NfLL. IAM & ~LLY <br /> <br />SITUS ADDRESS: <br /> <br />YAX LOT CATEGOF{Y <br /> 57358-000 <br /> <br />CONSTRUCTION TYPE OCCUPANCY <br /> <br />_Of4Mc. R <br /> <br /> 8295 AUMSVILLE HNY <br /> ~ i <br />AUMSVi L...E OR 97325 <br /> <br />SE CONTRACT CITY: i U~B: <br /> <br /> ........... M6. R Z O~L.O~U_NT'4 ....... N0 ...... <br /> <br />OCCUPANT LOAD <br /> <br />MAILING ADDRESS SUBGIVISION: <br /> <br />SAME <br /> <br /> PHONE. SITE xIUI'4B ER: 2258 <br /> VALUATION: <br /> <br />LOT BI,©CK SECTION TOWNSHIP RANGE ZONE <br /> NO ~O <br /> <br /> TYPE: ELECTRICAL PERIV]IT OR APPLICATION NO: 4270 <br /> <br />CONTRACTOR. NO. SUPERVISING ELECTRICIAN/NUMBER <br />LICENSE NO, <br />FULLHART, 14ILL. ZA¢4 & SALLY <br /> <br />PHONE: <br /> <br /> ~ T EH ~U~T I TY i~OUN T <br />C/T SERV 101-200 ~vlPS 1 <br />FLEET SURCHARGE -ZONE 3 $3 <br />ELECTRiCAl_ STA~E SURCHA~E $2,50 <br /> <br /> TOTAL A~ESSED FEES ,$56, <br /> PREVZOUS RECEZPTS <br /> THIS RECEIPT ¢58.. 34 <br /> <br /> 8ALICE DUE $0- <br />PAYE~; FUL~ART. NiLLZAN & SALLY ' ,"RECEZP~ NO 4825 <br />RECEIVED BY: x~ .................................. ,TYPE; CK CHECK ~: 6444 <br />~ ~IS IS A VALID PE~IT * ~IS PE~IT ~PI~"i,8~:,~ E~ ITS I~E ~TE. IF <br />~T~CTI~ C~ FOR A PERIOD OF 180 ~.' OR'~F[~ST~OTI~ FAI~ TO ~ET ALL <br />REdIReCTS OF STATE ~ ~D ~I~, ~N~ BUI~LDIN8 ~B Z~NG ORDINal, ~IS ~T <br />~ALL 8E~E NULL ~D ~ZD. ' ..... <br /> <br />F<E~ARKS: ~OP & NELL <br /> <br />,~, ,,t A .... ~ ~OOOLEY. ~VlARION COUNTY SUILD~NG OFFICIAL / 8Y .............................. <br /> <br />FOnM ,, MC ~, r,~ ~EV ¢/~'/ OFFICE COPY <br /> <br /> <br />