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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 22,5 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 EM, - 8:00 A.M. <br /> <br />lam po omngwok, Dna popery owf]orocoupy. <br />I am a reg~sterod burlder OR the authonzed ropresentative <br />of a registered builder, <br />Tho work will be performed by a registered builder. <br />Other <br /> <br /> DATE: 06/01/89 TIME: 2t10t31p <br />OWNER: <br /> KEUDELL FARMS <br /> <br />SIGNATURE OF APPWFANT: ........ <br /> <br /> DATE: <br /> <br />TAX ~ OT <br /> <br />CONSTRUCTION TYPE: <br /> <br /> 8632 DARLEY RD SE <br />AUMSVILLE OR 97325 <br /> <br />USE OF BUILDING: <br /> <br />MARION COUNTY NO <br /> <br />MAiLiNG ADDRESS: <br /> <br /> 12444 W STAYTON RD <br /> PHONE: ?59-5583 <br /> <br />SITE NUMBER: <br /> VALUAT I ON: <br /> <br />WIDTH: DEPTH: AREA: UNITS: IRREG LOT: <br /> <br />NO <br /> <br />RESIDENTIAA <br /> <br /> 5029 <br /> <br />NO <br /> <br />TYPE~ ELECTRICAL PERMIT OR APPLICATION NO: <br /> <br />16415 <br /> <br />CONTRACTOR, NO. 4354 <br />LICENSE NO: <br />ROY TODD ELECTRIC <br />PO 8OX 4 <br />SUBLIMITY, OREGON 97385 <br />PHONE: 769-2282 <br /> <br />SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> ITEM <br />IRRIGATION PUMP <br />FLEET SURCHARGE -ZONE 4 <br />ELECTRICAl_ STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> $30.00 <br /> $5.12 <br /> $1.50 <br /> <br /> TOTAL A,gxSESSED FEES $86.62 <br /> PREVIOUS RECEIPTS $0.00 <br /> THZS RECEIPT $36.82 <br /> <br /> BALANCE DUE $0.00 <br />PAYEE: ROY TODD ELECTRIC RECEIPT NO: 1745B <br />RECEIVED BY: P8 TYPE: CK CHECK ~: 860 <br />* THIS IS A VALID PERMIT ~ .T~IS.PE~IIT EXPIRES ]80 BC~YS FROf4 ITS I~E ~TE. IF <br />~T~CTI~ ~ FOR &'PERIOD OF ]80 BA~, OR IF ~ST~OTI~ FAI~ TO ~E~ ~L <br />R~IR~ OF STATE ~ ~B~RI~ ~N~ 8UILBINe <br />~aLL 8~E NULL ~D ~IB..'?' <br /> <br />RE~ARKS; IRR ~P R~7695 <br /> <br />~NALO E- ~ODLEY, ~ARiON COUNTY BUILDING OFFICIAL. / BY <br /> <br />~oR= o ~c m.6 .~v..me OFFfCE COPY <br /> <br /> <br />