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MARION COUNTY BUILDING INSPECTION <br />'SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 I'M - 8::00 AM <br /> <br />I am performing work on a property I own or occupy <br /> <br />ovC)~TE: 02/02/89 TIME: 2:21:16p TAXLOT <br /> <br /> BUSBY, STEVEN C. <br /> <br /> 6?5 FIRST ST+ OONTRACTCITY UGB <br />AU~VI LLE OR <br />USE OF BUILDING AU~VI LLE YES <br /> <br /> RESIDENTIAL <br /> <br />OCCUPANT LOAD <br /> <br /> 6?43 ~AW HWY. AIJI~4SVILLE <br /> <br /> PHONE: 14g-2?g4 SITE NUMBER: <br />LOT BLOCK SECTION TOW N~NIF RANG~~] ~ ~ ZONE <br /> <br />6478 <br /> <br />NO NO <br /> <br />TYPE: ELECTRICAL PERMIT OR APPLICATION NO; 12833 <br /> <br />CONTRACTOR, NO. SUPERVISING ELECTRICIAN/NUMBER <br />LICENSE NO: <br />BUSBY, STEVEN C. <br />6743 SHAW HNY. AUMSVILLE <br /> <br />PHONE'. 749-279~t <br /> <br /> ! TEM (~JANT I TY AMOUNT <br />SERV CHANGE ONLY-EXISTING RESIDENCE 1 <br />TWO OR NORE NEN CIRCUITS;ALT OR EXT 1 $30.00 <br />FLEET SURCHAR6E -ZONE 3 $3.84 <br />ELECTRICAL STATE SURCHARGE $~.00 <br /> <br /> TOTAL ASSESSED FEES $66.84 <br /> pREVIOUS RECET PTS $0.00 <br /> THIS RECEIPT $66.84 <br /> <br /> BALANCE DUE $0.00 <br /> <br />PAYEE.' BUSBY,STEVEN C. RECEIPT NOt 146'70 <br />RECEIVED 87.' PR - I TYPE.* IN CHECK ~ 0 <br /> <br />$ THIS IS A VALID PERMIT m l')iIS PERMIT E~'KPIRES 180 DAY~J FROM IT8 IS,qSUE I3ATE. IF <br />CONSTRUCTION CEASES FOR A PBRIOD OF 180 DAYS, OR IF CONSTRUCTION FAIL~ TO' MEET ALL <br />REQUIREMENTS OF ~TATE LA~ AND MARION COUNTY 8UILDIN~ AND ZONIN8 ORDINANCES, THIS PE~IT <br />~HALL BEOOf4E NULL AND VOID. <br /> <br />REMARKS: SO ONLY EXIST RES/2+NEN cIRCUITS ~l~F'N ~ <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / 87 _~,~_._ ............ <br /> <br />FonM ~ MC I~ n~ I1'~ OFFIC~ COPY <br /> <br /> <br />