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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> &=HONE 588-5147 <br />C(~¢OE-A-F~HONE 4 30 EM - 8"00 AM <br /> <br />I haFe read and 89red to the terms StBted CFI the reverse side of <br />this do0ument <br /> <br />SIGNATUR~ OF APPLICANT <br /> OATE <br /> <br />ow~ATE; 01/la/a9 <br /> DORAN, TOM <br /> <br />TIME: 1=38:10p <br /> <br />RESIDENTIAL <br /> <br /> 885 8TH <br />AUMSVILLE <br /> <br />OR 97325 <br /> <br /> OONTRACT CITY UGB <br />MARION COUNTY NO <br /> <br />PO BOX 185 <br />SUBLIMITY OR 9?385 <br />PHONE: ?69-?364 <br /> <br />LOT BLOCK SECTION <br /> <br />SITE NUMBER: <br /> VALUAT I ON: <br /> <br />WIDTH DEPTH AREA <br /> <br />24 UNITS 8S IRREG LOT 2N F¢OnNER 51 <br /> NO NO <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO: <br />TOM DORAN <br />PO BOX 185 <br />SUBLIMITY 9?385 <br />F~'IONE: ?69-7264 <br /> <br /> PERMIT OR APPLICATION NO: 13587 <br /> <br />55493 SUPERVISING ELECTRICIAN/NUI~i3ER <br /> <br /> ITEM <br />TF2'4P OONSTR SERVICE <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: TOM DORAN <br />RECEIVED BY: P8 <br /> <br />QUANTITY AMOUNT <br /> 1 $30.00 <br /> $3.84 <br /> $1.50 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THZS RECEIPT <br /> <br />$35.34 <br /> $o.oo <br />$35.34 <br /> <br />BALANCE DUE ~'"%, $0.00 <br /> %.. <br /> RECEIPT NO: '14401 <br /> <br />TYPE: IN CHECK ~: 0 <br /> <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FROM ITS I83JE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAIL,~ TO MEET ALL <br />REQUIREMENT8 OF STATE LAW~ANDMARION COUNTYBUILDINGAND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID+ <br /> <br />REMARKS; TF_.MP <br /> <br />DONALD E. NOODLE'Y, I~$~RION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM '¢ Mi 15'51~ nE'¢ IT'8~ OFFICE COPY <br /> <br /> <br />