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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 P.M. - 8:00 A,M. <br /> <br />of a registered builder, <br /> <br />Other. <br /> <br /> DATE= 12/11/87 T * · <br /> IME 2..27.3.1p .......... · <br /> <br />OWNE Rr TAX LOT: <br /> SLIIV~EI:~, DAN I EL J. <br />SITUS ADDRESS: CONSTRUCTION TYPE: <br /> <br />OCCUPANCY: <br /> <br /> 860 ?TH ST <br /> AUM~VI LLE <br /> <br />USE OF abEmNEi <br /> <br /> N I CONTRACT CITY; <br />OR 97325 <br /> AU~LILLE .. NO <br /> <br />~AILING AOD~ES~: ---- <br /> <br />PO 80X 713 i <br />~J~VI LLE <br />PHONE: 749-1359 : <br /> : SITE NUNI~ER: 2752 <br /> VALUATION: <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />SUt4~ERS, DAN I EL J. <br />PO 8OX 713 <br />AUNSVILLE <br />PHONE: 749-1359 <br /> <br />PERMIT OR APPLiOATI:ON~ NOs 59:14- <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITSE1 <br />ONE :NEW 8EANCH CIRCUIT;ALTER OR EXTEND <br />FLEET SURCHARgE--ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />:TOTAL:. ~EQ, FEE~S <br /> PRE¥:I OUS' RECE'~ PYS <br /> RECEI:P~ ::,::: ' <br /> <br /> QUANTITY ~NT <br /> 1 $15.00 <br /> [3.84 <br /> 0.75 <br /> <br /> $19.59 <br /> $o.oo <br /> $19.59 <br /> <br /> $o.oo <br /> <br />:RECEIPT NO~ 6485 <br />TYPE~ CE CHECK ~: 1851 <br /> I=R01~ :TTS ISSUE DATE. IF <br /> FAILE~ TO ~ ~ <br /> <br />PAYEE: .,,~UM'4ERS., DANIEL J. <br />RECEIVED BY: BM ' .... <br /> <br />* THIS IS A VALID PER~IT ~ <br />~JI4UCTION CE~ FOR, A~ <br />REqUI~ OF ~TATE ~ ~ND ,I~ION COt~TY ,IBU] <br /> I~U_ ~D ~ID+ , ':: :' <br /> <br />RENARI'~: I CI;R R~8,463 <br /> <br />DONALD E. NOODLE'Y, MARION COtJNTY BUILDING:::,~ICI:AL /::.'BY <br /> <br />~O~M ~, MC ~s.se ~v ,t/.~ OFFICE COPY <br /> <br /> <br />