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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. 225 <br /> 280 HIGH STREET NE <br /> SALEM, OREGON 973.91 .~ <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P,M. - 8;00 A,M, <br /> <br /> I have road a~'~"cJ'"~e~?6~hete~ms ~tated on the reverse si(Je ol <br /> <br /> DATE: 09/27/88 ~.~.~.~ ~ 4;04;5gp <br /> DO~N, TON <br />~Sifus *~D~S: <br /> <br /> 880 8TH <br />AUHSVILLE OR 9?825 <br /> <br />~AX 'L0+; ..... , CATEGORY; ......... <br /> ' RES I DENT~ I AL <br /> <br />AUMSVILLE ': NO <br /> <br />PHONEt 769-7364 SITE NUFIBER: 5604 <br /> VALUATION: <br /> <br /> NO ; NO <br /> <br />TYPE: ELECTRICAL, <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />T(,'~I DORAN <br />~3 8OX 185 <br />SU8LIHITY 97385 <br />K~dONE~ 769-7364 <br /> <br /> PERMIT OR APPLICATION NO: 11459 <br /> <br />55493 SUPERVISING ELECTRICIAN,/NUHBER <br /> <br /> ~TEH <br />TEMP CONSTR SERVICE <br />FLEET SURCHARGE -.ZONE <br />ELECTRICAL STATE SURCHAR~3E <br /> <br />PAYEE: TOM [:)ORAN <br />RECEIVED BY: dm <br /> <br />QUANTITY <br /> l <br /> <br /> TOTAL ASSESSED:FEES <br /> PREVIOUSRECEIP%S <br /> THIS RECEIPT <br />;BALANCE <br /> :: ' ; :RECEIPT NO: <br /> -- !~;, CHECK <br /> <br />A~OUNT <br /> $20~00 <br /> ~3.84 <br /> 1.00 <br /> <br />$24.84 <br /> $0.00 <br /> <br />$0.00 <br /> <br />12182 <br /> 0 <br /> <br />THIS IS A VALID PERt4IT ~< THI~ PEI;~4IT EXPIRF_.S 180;DAy$ ~ ITS I.~SUE DATE. IF <br />OON~TRUOTION OEA~E~ FOR A RER~IOD OF 180 DAY~ 'OR ~F CONSTR~C'~,ION FAIL~ TO M~ET ALL <br />REQUIRENENTS OF STATE LAW~ AND ~RI~ ~N~ BUI~I:N~]:~D Z~!NG ORDIN~C~. ~IS PE~[T <br />~ALL BEdE NULL ~D VOID. :, :, <br /> <br />R~ARKS: TE <br /> <br />FO~M ,it MC rS'Se RF~V, ~/,~7 OFFICE COPY <br /> <br /> <br />