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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLD~[ NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4 30 PM - 8;:00 AM <br /> <br />03/20/89 TIME: 11:13;158 <br />DAN T ELSON, EVAN <br /> <br /> 15393-211 <br />CONSTRUCTION TYP~ <br /> <br />CATEGOHY <br /> RESI DEN7 1 ,AL <br />OCCUPANCy <br /> <br /> 9803 FRIENDLY ACRES <br />AU~SV I LLE OR <br /> USE OF BUILD~NG <br /> <br />97325 <br /> <br />SE <br /> <br />FtARION COUNTY NO <br /> <br />39394 BROCK OR. <br />SCIO, OR 9?374 <br />PHONE: 394~2379 <br /> <br />LOT SLOOK SECTION <br /> <br />SITE NUMBER: 8685 <br />VALUATION: <br /> <br />WIOTH DEPTH AREA <br /> <br /> 19 8S 1~ <br />5. O0000 AC NO NO <br /> <br />AR5 <br /> <br />TYPE; ELECTRICAL <br /> <br />CONTRACTOR, NO. <br />LICENSE NO~ <br />DAN IELSON, EVAN <br />39394 BROCK DR. <br />SCIO, OR 9?3?4 <br />PHONE: 394-23?9 <br /> <br />PEFC4IT OR APPLICATION NO: 1&374 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> <br /> I TEN <br />fcOSILE HO~4E SPACE (SVC EQUIP) <br />MEttLE HONE CONNECTION <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE ,mLRCHARGE <br /> <br />QUANTITY AMOUNT <br />1 ~25.00 <br />1 ~5,oo <br /> $3,84 <br /> <br />TOTAL A~SES~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$56.34 <br />$56_34 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br /> <br />RECEIVED BY; pr TYPE= CHECK ~: <br /> <br />* THIS IS A VALID PERMIT * THiS PE~T EXPIRES 180 DAYS FRO~ ITS ISSUE DATE. <br />CONSTRUCTION CEASe5 FOR A PERIOD OF 180 DAY~, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIR~ENTS OF STATE LA~ANDMARION CCUNTY BUILDING AND ZONING ORDINANCES, I~HIS PEri% <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS; MN SERV/CONN R~55~4 ~ ~.~ <br />DONALD E_ NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY .............. <br /> <br />~o~,~* MC ~,~ ~[~ ..~. OFFICE COPY <br /> <br /> <br />