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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 PM - 800 AM <br /> <br />I am performm§ work on a proporty I o~n or occupy <br /> <br />O~hor <br /> <br />DATE: 01/18/89 TIME: 11:21;37a <br /> DORAN ,, TOM <br /> <br />TAX LOT 90040-450 <br /> <br />RESIDENTIAL <br /> <br /> 910 8TH ST <br />AUMSVI L. LE <br /> <br />USE OF BUILDING <br /> <br /> PO BOX 185 <br /> SUBLIMI~¢ OR 97385 <br /> PHONE; ?69-7364 <br /> <br />OR 9?325 <br /> <br />LOT BLOCK ~ECTION TOWNSHIP <br /> <br /> 4 5 25 <br />WIDTH 74 DEPTH 95 *,*E,~ 7030 . 00 UNITS <br /> <br /> CONSTRUCTION TYPE <br /> <br /> CONTRACT CITY LJG~ <br />AUMSVI LLE NO <br /> <br /> DEL MAR ADDITION <br /> <br /> SITE NUMBER: 6228 <br /> VALUAT I ON; <br /> <br /> RANGE ZONE <br /> 8S 2W RS <br /> <br />SF IRRE~ LOT NO CORNLRNo <br /> <br />MAP <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 />PERNIT OR APPLICATION ~0: 13575 <br /> <br /> SUPEFA/ISING ELECTRICIAN/NUMBER <br /> ARLIN E. AD~ /1479S <br /> <br /> ITEM <br />RES WIRING < 2000 SQ FT <br />FLEET SURCHARGE -ZONE 3 <br />ELECTRICAL STATE SURCHARGE <br /> <br />PAYEE: NORTHSIDE ELECTRIC INC <br />RECEIVED BY: P8 <br /> <br />QUANTITY AMOUNT <br /> 1 $75.00 <br /> $3.84 <br /> $3,75 <br /> <br />TOTAL ASS~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$82.59 <br /> $o.oo <br />$82.59 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: 14393 <br />TYPE; OK CHECK ~: 7104 <br /> <br />* THIS IS A VALID PERNIT * THIS PER~IT EXPIRBS 180 DAYS FROf,1 ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE bAHS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERf4IT <br />SHALL BECONE NULL AND VOID. <br /> <br />REMARKS: RES R~6722 <br /> <br />DONALD E. NOODLE'Y, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM ~ MC I~ RE~ IP.~ OFFICE COPY <br /> <br /> <br />