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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HfGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> "'PHONE 588-5147 <br /> CODE-A-PHONE 4::30 PM. - 8::00 A.M <br /> <br />DATE: 05/18/89 TIME; 9:25.'35a <br /> DORAN, TOM <br /> <br />ADDRESS <br /> <br /> 885 8TH <br />AUIvLSVILLE OR 97325 <br /> <br /> 90040-350 <br /> <br /> CONSTRUCTION TYPE <br /> <br />AUIvfSVILLE YES <br /> <br />MAILING ADDRESS <br /> <br />F~ BOX 185 <br />SUBLIMITY, OR 97385 <br />PMONE: ?69-7364 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> 22 5 25 <br />¢~IDTH 0ER'TH AREA UNITS <br /> 74 100 7400.00 <br /> <br />DELMAR Iii <br /> <br /> SITE NUMBER: 8750 <br /> VALUATION: <br /> <br />8S 2W <br />SF NO NO <br /> <br />RESIDENTIAL <br /> <br />MAR <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NOt <br /> <br />16049 <br /> <br />CONTRACTOR. NO. 2075 <br />LICENSE NO: <br />NORTHSIDE ELECTRIC <br />PO 8OX 7124 <br />SALEM, OREGON 9?303 <br />PHONE: 393-5559 <br /> <br />SUPERVISING ELECTRICIAN/NuMBER <br />ARLIN E_ ADAMSON /1479S <br /> <br /> ITEM <br />RES WIRING < 2000 SO FT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />OUANTITY ¢~v~UNT <br /> $75.00 <br /> $3.84 <br /> $3.?5 <br /> <br /> TOTAL ASSESSED FEES $82.59 <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT $82.59 <br /> <br /> BALANCE DUE $0.00 <br />PAYEE: NORTHSIDE ELECTRIC INC RECEIPT NO: 17066 <br />RECEIVED BY: DM ................... TYPE: CK CHECK ~: 7343 <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FRO~I ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS. OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS; NEN RES R~7569 <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORN~ ~ MC ~-~S ~E~ ~,~B OFFfCi7 COPY <br /> <br /> <br />