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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />22'0 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 /> this document, <br />DATE: 10/23/87 TIME: 16:15:58a <br /> N I XON, CLEATUS <br /> <br />SITUS ADDRESS: <br /> <br /> 3?5 CLEVELAND ST <br />AU~VI LLE OR 9?328 <br /> <br />USE OF BUILDING: <br /> <br />MAILING ADDRESS: <br /> <br />CONSTRUCTION TYPE; OCCUPANCY: <br /> <br /> CONTRACT CITY: i UGLY: OCCUPANT LOAD: <br />AUivEWI LLE I NO <br /> <br />PO BOX 262 <br />AUNSVILLE 97225 <br />~HONE: 749-2758 <br /> <br /> SITE NUMBER: 2681 <br /> ; VALUATION: <br /> <br />TOWNSHIP: F~ANGEi ZoNE <br />UN'TS; I IRREG. LOT: NO <br /> <br />MAP: <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />N IXON. CLEATUS <br />PO BOX 262 <br />AUN~VI LLE 97325 <br />PHONE: 749-2?58 <br /> <br />PEI;~4I'I' OR APPLICATION 'NO: 5195 <br /> <br /> · gJPERVISIN$ ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />ONE NEW BRANCH CIRCUIT;ALTER OR EXTEND <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE; <br />RECEIVED <br /> <br /> :'TOTAL ,ASSESSED FEES <br />· PREV IOtlS:: RE. CE I PTS <br /> THIS RECEIPT <br /> <br /> 8ALANCE DUE <br /> <br />QUANTITY ANOUNT <br /> $15.00 <br /> $3.84 <br /> $0.75 <br /> <br />$19.59 <br />$19.59 <br /> $o.oo <br /> <br /> $0.00 <br /> .:'RECEIPT NO <br />,~PE'! CHECK ~: 1l ?.s"' <br /> <br /> THIS ZS A VALID P~ZT ~,,:fTS fBE DATE. <br />CONS'lrlBJCTION CEASES ~ A PERIOD.OF FAiL~ TO I~EET <br />I:~EQUIRi~4ENI~ OF STATE ~ AND M~RION C~UN~Y, BUILDING::AND ZONIN~ ORDINAl, '{qHIS <br /> <br /> NULL AND VOID. <br />CtR FOR FURNACE <br /> <br />OONALD E. NCX)DLEY, MARION COUNTY BUILDING OFFICIAL / 8Y , <br /> <br />~'OPM ,, MC ~=-~..~,, ~/~7 OFFICE COPY <br /> <br /> <br />