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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM1 OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A,M. <br /> <br />t am performin9 work on a property I own or occupy, DATE ~ ~t.~ <br /> <br /> of a registered builder. <br /> The work will be performed by a reOistered builder. <br /> Other____ <br /> I havo road and agree to the terms stated on the reverse side of <br /> this document. <br /> <br /> 09/27,/88 TTIVE: 4 ~'j~.;05p <br />OWNER'. <br /> DUNN, JAMES <br />SITUS ^DDRE¢8. <br /> <br /> 8562 LITTLE RD S <br /> AU~'.fi'~VI LLE OR 9?325 <br /> <br />RESI DEN"('i AL <br /> <br />i'4A8 I.ON. OOUN_TY t NO i ~ <br /> <br /> SA~4E <br /> <br />; PHONE: 749-2193 <br /> <br />i~:¢i(~N: TOWNSHIP: RANGE; I~ ZONE: MAPr <br /> ~ ............. 8S 2~ .............. EEU ...... 1 ~ <br /> AREA: UNITS: [RREG. LOT: ', CORNER: <br /> 5 03000 AC NO NO ~ <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO_ <br />LICENSE NO: <br />DUNN, JA~ES <br />SAME <br /> <br />PHONE: 749-2193 <br /> <br />PERMIT OR APPLICATION <br /> <br /> SUPERVISING ELECTRICIAN/NUIV'SER <br /> <br /> ITEM <br />C/I SERV 101-200 AMPS <br />FLEET SURCHARGE ~ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: DUNN, JAMES <br /> <br />QUANTITY AMOUNT <br /> <br /> $3.84 <br /> $2.50 <br /> <br />TOTAL ASSESSEO FEES <br /> PREVIOUS RECEIPTS <br />.THIS RECEIPT <br /> <br /> BALANCE DUE: <br /> <br /> ' ::::::RECEIPT NO: <br /> <br />$56.34 <br /> $0.00 <br />$56,34 <br /> <br />$0.00 <br /> <br />12193 <br /> <br />RECEIVED BY: J8 : i":: ';';:TYPE: ,CA;: CHECK ~: 0 <br />>x THIS IS A VALID PERMIT * 'P~IIS]PERNIT EXPIRES 180, DAYS FROf4:i:ITS IEE~E DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF ~80 DAYS; OR IE: CON~,T~J~C~ION FAIL.S TO NEET ALL <br />REQUIREMENTS OF' STATE LAMS AND P, ARION COUNTY 8UILDIiN, G;:AND, ZONING ORDINANCES, THIS PERt'4IT <br />SHALL 8ECOI~E NULL AND VOID. ' <br /> <br /> OM'gER : <br />REHARKS: 200 AMP R~5042 ~ '"~ <br /> <br /> COUNTY ~U ILblNG :OEFYCIAL <br />0ONALD E- 1,4OODLEY, MARION ' <br /> <br />OFFICE COPY <br /> <br /> <br />