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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 430 PM - 8 00 AM <br /> <br />DATE: 01/18/89 TIME: 11:45:52a <br /> DORAN, TO~4 <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DATE <br /> <br />TAX LQT <br /> 90040~440 <br /> <br />CONSTRUCTION TYPE <br /> <br />RESI BENTZAL <br /> <br /> 920 8TH ST <br />AUMSVILLE OR 97325 <br /> <br />AUMSVI LLE NO <br /> <br />PO BOX 185 <br />SUBLIMITY OR 9?385 <br />PHONE: 769-7364 <br /> <br />LOI 8LOCK <br /> 3 6 <br />74 <br /> <br />95 <br /> <br />DEL MAR ADDITION ~3 <br /> <br /> SITE NUIVBER: 622? <br /> VALUATION: <br /> <br /> 25 8S 2N RS <br />7030.00 SF NO NO <br /> <br />MAP <br /> <br /> 51 <br /> <br />TYPE: ELECTRICAL <br /> <br />CONTRACTOR, NO. 2075 <br />LICENSE NO: <br />NORTHSIDE ELECTRIC INC <br />PO BOX 7124 <br />SALEM, OREGON 97303 <br />PHONE: 393-5559 <br /> <br />PEFE4IT OR APPLICATION NO: 13578 <br /> <br /> SUPERVISING ELECTRICIAN/NUMBER <br /> ARLIN E. ADANSON /1479S <br /> <br /> ITEM <br />RE~ WIRING < 2000 ~Q PT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: NORTHSIDE ELECTRIC INC <br />RECEIVED BY: P8 <br /> <br />OUANTITY AMOUNT <br /> 1 $?5.00 <br /> 3.84 <br /> 3.75 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$82.59 <br /> $0.00 <br />$82_59 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: 14396 <br />TYPE: CK CHECK ~: 7104 <br /> <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FROM ITS I,~.qUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LAN~ AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: RES R~6722 <br /> <br />DONALD E- WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM ~ MC 15~6 RF,J 11'88 OFFICE COPY <br /> <br /> <br />