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MARION COUNTY BUILDING INSPECTION <br />SFNATOR.,,~LDG NO 225 <br />220 HIGH STREET NE <br /> SA'~EM. OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 800 A M <br /> <br /> DORAN, TOt'4 <br />SITUS A DDRFS'~, <br /> <br />90040-400 <br /> <br /> 935 8TH <br />At,~I~"ISV ~ LLE <br /> <br /> BUILDING <br /> <br />GR 97325 <br /> <br />AUMSV :I LLE NO <br /> <br />SUBDIVISION <br /> <br />PO SOX 185 <br />GdBLINITY OR 97385 <br />PHONE: 789~7364 <br /> <br />DEL r,aAR ,[ :[ z <br /> <br />'74. 79 <br /> <br />CATEGORY <br /> RES I DENT tAL <br />OCCUPANC '~ <br /> <br />OCCUP,&NT LOAO <br /> <br /> SITE NU~tBER ~ 5908 <br /> VALUAT ION: <br />SECTION ]OWNGHIP RANGE ?ON~: MAP <br /> <br /> 25 88 2W RS 5 ~ <br /> 5845,00 SF NO h,fO <br /> <br />NO OF BEDROOMS <br /> <br />TYPE ELECTRIC,~,L <br /> <br />GON'[RAC/OR, NO. 2075 <br />LICENSE NC); <br />NORTH;SIDE ELECTRIC iNC <br />PO SOX 7124 <br />SAL, Ei~, OREGON 9?303 <br />PHONE: 393-5559 <br /> <br />PEPdVlI]- OR APPLICATION NO: 9013369 <br /> <br /> SUPERVISING ELECTRICIAN/NUmBER <br /> ARLIN E,, AD~HSON /14798 <br /> <br />RES WIRING < 2000 SQ FT <br />FLEET SURCHARGE ,,-ZONE 3 <br />ELECTRICAL S/AT~ SURCHARGE <br /> <br />PAYEE: NORTHSIDE ELECTRIC INC <br /> <br />OUANTITY A~OUNT <br /> $75,00 <br /> <br /> $3,~5 <br /> <br />TOTAL ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$82,59 <br /> <br />$56.S4 <br /> <br />BALANCE DUE $26,25 <br /> <br />RECEIPT NO: I4i78 <br /> <br />RECEIVED BY: c~m TYRE: CK ¢HEC,'< ti: 6998 <br />:,x THIS IS NOT A PERNIT. THIS APPLICATION NIJST GO THDDUGH A REVIBq~ PROCESS ~ERE THE <br />FOLLOWING NUST BE CONPLETEB. IT IS THE RESI~DNSIBfL1'TY OF THE APPLICANT TO AS,SURE THAT <br />ALL NECE, S,SARY INFORPC, TION HAS BEEN PROVIBEB. <br /> <br />PLZ~N REVIEW: 8Y <br />REI'4ARKS; RES R:~t6285 <br /> <br />DATE <br /> <br />CITY JdRISDICT~ON: 8Y [)AT',.-" <br /> <br />FClRM ¢ MC ,5-~1~ nC'~ fl'SB OFFICE COPY <br /> <br /> <br />